Individual provider Active NPI

James Matthew Beranek, O.D.

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1124292206
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3779 Issued in FL
Practice address
3277 Hollywood Blvd
Hollywood, FL 33021-6906
Phone
(954) 987-6500
Fax
(954) 966-2020
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3779 FL Primary

Addresses

Primary practice location

3277 Hollywood Blvd
Hollywood, FL 33021-6906

Mailing address

3277 Hollywood Blvd
Hollywood, FL 33021-6906
Phone (954) 987-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000587 FL Practitioner - Optometry 6800797614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James M Beranek OD PAGroup PAC ID 0648216325, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3779FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James M Beranek OD PA Optometrist CurrentSince Mar 23, 2005 Accepting new patients
Apteka, Inc Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: james.beranek@uprisedirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1124292206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216906",
            "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": "3277 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216906",
            "telephone_number": "954-987-6500",
            "fax_number": "954-966-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERANEK",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.