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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA5638T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryNPI 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.