Dr Lee S Berman Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA5638T Issued in CA

Legal business name

DR LEE S BERMAN OPTOMETRY INC

Practice address

1661 Golden Rain Rd
Seal Beach, CA 90740-4907

Phone

(949) 933-7301

Fax

(714) 903-7801

NPI assigned

Nov 4, 2010

Last updated

May 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee S Berman, ODNPI 1295899177

Title

Sole Owner/Ceo

Phone

(949) 933-7301

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee S Berman, OD

  • Optometrist
  • Garden Grove, CA
  • NPI 1295899177
  NPD (past) Authorized official
• Lee B Berman, MD

  • Pulmonary Disease Physician
  • Wayne, NJ
  • NPI 1548277601
  NPD (past)

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1245531425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 DIVINITY DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017406",
            "telephone_number": "949-933-7301",
            "fax_number": "714-903-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 GOLDEN RAIN RD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907404907",
            "telephone_number": "949-933-7301",
            "fax_number": "714-903-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEE S BERMAN OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE OWNER/CEO",
        "authorized_official_telephone_number": "949-933-7301",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA5638T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Delfin
• Janice Derderian-Harbin, LCSW
• Linh Sylvie Diep
• Christine Doan
• Samantha Dominguez
• Dr. Jill T. Smittle, Optometry, Inc.
• Dragonfly Optical Inc (Pearle Vision)
• Marlene Barbara Driscoll
• DRS. Gantes & Smith, a Professional Dental Corp.
• Victoria Lynn Dunckley, M.D.

• Optometrist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.