Jeffrey Berman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004883 Issued in NY

Practice address

5625 Myrtle Ave
Ridgewood, NY 11385-4740

Phone

(718) 497-5470

Fax

(718) 386-0532

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Austin Optics Inc

  • Optometrist
  • Forest Hills, NY
  • NPI 1225571151
  Medicare reassignment
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  NPD (past)
• Pension Committee Joint Industry Board

  • Clinic/Center
  • Flushing, NY
  • NPI 1033265095
  NPD (past)
• R & I Optical

  dba Sterling Optical

  • Optometrist
  • Ridgewood, NY
  • NPI 1023183381
  NPD (past)
• Rajann Optics Inc.

  dba Sterling Optical

  • Optician
  • Ridgewood, NY
  • NPI 1295179349
  NPD (past)
• Vincente Calderon OD PC

  dba iCare

  • Optometrist
  • Oceanside, NY
  • NPI 1881994994
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1750517256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854740",
            "telephone_number": "718-497-5470",
            "fax_number": "718-386-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 MYRTLE AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854740",
            "telephone_number": "718-497-5470",
            "fax_number": "718-386-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1023183381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suresh N Bendale, D.D.S.
• Benedicto, Figueroa Medical Group PC
• Milagros Benedicto
• Heba Benjamin
• Cynthia Bennett, RN
• Gilbert Berookhim, DDS
• Best Smile Dental PC
• Rekha Bhandari, MD
• Dennis Block
• Denis Eduardo Blumberg, LCSW, CASAC

• Optometrist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.