Individual provider Active NPI

Seth M. Berg, O.D.

  • Optometrist
  • Plantation, FL
National Provider Identifier
1467454157
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3084 Issued in FL
Practice address
1856 N Nob Hill Rd
#261
Plantation, FL 33322-6548
Phone
(954) 536-8905
Fax
(954) 370-4546
NPI assigned
Aug 11, 2005
Last updated
Jun 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3084 FL Primary

Addresses

Primary practice location

1856 N Nob Hill Rd
#261
Plantation, FL 33322-6548

Mailing address

1856 N Nob Hill Rd
#261
Plantation, FL 33322-6548
Phone (954) 536-8905

Other identifiers 2

IdentifierTypeStateIssuer
620329900MedicaidFL
131764100MedicaidFL

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
I20101222000759 FL Practitioner - Optometry 6507833175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 SW 40TH Ave
Golden Age Manor
Plantation, FL 33317-4527
Phone (954) 583-3321

1208 S Military TRL
Horizon Club
Deerfield Beach, FL 33442-8709
Phone (954) 554-8905

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3084FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Home Eyecare, PA Optometrist CurrentSince Jul 3, 2000 Accepting new patients
Bullseye Optical Inc Past Accepting new patients

Locations

1110 SW 40th Ave
Plantation, FL 33317
Phone (954) 536-8905

1844 N Nob Hill Rd
Ste 261
Plantation, FL 33322
Phone (954) 536-8905

1856 N Nob Hill Rd
Plantation, FL 33322
Phone (954) 536-8905

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1467454157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 N NOB HILL RD",
            "address_2": "#261",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226548",
            "telephone_number": "954-536-8905",
            "fax_number": "954-370-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 N NOB HILL RD",
            "address_2": "#261",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333226548",
            "telephone_number": "954-536-8905",
            "fax_number": "954-370-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "SETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620329900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131764100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.