Organization Active NPI

James M Beranek OD PA

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1124000146
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3779 Issued in FL
Legal business name
JAMES M BERANEK OD PA
Practice address
4340 Sheridan St Ste 102
Hollywood, FL 33021-3555
Phone
(954) 987-6500
Fax
(954) 966-2020
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Matthew Beranek, ODNPI 1124292206
Title
President
Phone
(954) 987-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3779 FL Primary

Addresses

Primary practice location

4340 Sheridan St Ste 102
Hollywood, FL 33021-3555

Mailing address

4340 Sheridan St Ste 102
Hollywood, FL 33021-3555
Phone (954) 987-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000101 FL Part B Supplier - Clinic/Group Practice 0648216325 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

3277 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 987-6500

4340 Sheridan St
Ste 102
Hollywood, FL 33021
Phone (954) 987-6500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1124000146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213555",
            "telephone_number": "954-987-6500",
            "fax_number": "954-966-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213555",
            "telephone_number": "954-987-6500",
            "fax_number": "954-966-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M BERANEK OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "BERANEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-987-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.