Organization Active NPI

Lee S Berman OD Inc

Doing business as Triangle Eye Care Optometry of Long Beach

  • Optometrist
  • Seal Beach, CA
National Provider Identifier
1669669222
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA5638T Issued in CA
Legal business name
LEE S BERMAN OD INC
Doing business as
Triangle Eye Care Optometry of Long Beach
Practice address
1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone
(949) 933-7301
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Lee S Berman, OD
Title
Owner
Phone
(949) 933-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA5638T CA Primary

Addresses

Primary practice location

1661 Golden Rain Rd
Seal Beach, CA 90740-4907

Mailing address

1365 Divinity Dr
Prescott, AZ 86301-7406
Phone (949) 933-7301

Other names 1

  • Triangle Eye Care Optometry of Long Beach Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1669669222",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE S BERMAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "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": "OWNER",
        "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": [
        {
            "organization_name": "Triangle Eye Care Optometry of Long Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seal Beach, CA

Sources for this page

  • 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.