Active NPI
Tiana Tamara Berezu, O.D.
- Optometrist
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OFC86
- Practice address
- 3200 South University Drive
Terry Building 1402
Davie, FL 33328 - Phone
- (954) 262-4235
- NPI assigned
- Aug 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OFC86 | FL | Primary |
| Optometrist | 152W00000X | 0618002697 | VA |
Addresses
Primary practice location
3200 South University Drive
Terry Building 1402
Davie, FL 33328
Mailing address
PO Box 290370
Davie, FL 33329-0370
Phone (954) 262-4397
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190124003375 | FL | Practitioner - Optometry | 3072850320 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nova Southeastern University Inc
Practice addresses (Care Compare)
2307 W Broward Blvd
Suite 200
Fort Lauderdale, FL 33312-1420
Phone (954) 262-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.47 of 100
- Quality
- 62.45
- Improvement activities
- 40
- Cost
- 73.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OFC86 | FL | MD | Optometrist |
| 0618002697 | VA | MD | Optometrist |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Optometrist | Current | Accepting new patients |
| Nova Southeastern University, Inc | Current | Accepting new patients | |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Optometrist | Past | Accepting new patients |
| Nova Southeastern University, Inc | Past | Accepting new patients |
Locations
3200 S University Dr
Bldg 1402
Davie, FL 33328
Phone (954) 262-1402
3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313
1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000
5901 Del Lago Cir
Sunrise, FL 33313
Phone 9544634217 ext. 122
Networks
- Freedom Health HMO Network
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Davie, FL
- NPI 1558799809
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Davie, FL
- NPI 1770722282
-
- Clinical Medical Laboratory
- Ft. Lauderdale, FL
- NPI 1770533390
-
- General Practice Dentistry
- Davie, FL
- NPI 1033357611
-
- Family Medicine Physician
- Davie, FL
- NPI 1447345517
-
- Optometrist
- Davie, FL
- NPI 1588802169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1801376124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290370",
"city": "DAVIE",
"state": "FL",
"postal_code": "333290370",
"telephone_number": "954-262-4397",
"fax_number": "954-262-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SOUTH UNIVERSITY DRIVE",
"address_2": "TERRY BUILDING 1402",
"city": "DAVIE",
"state": "FL",
"postal_code": "33328",
"telephone_number": "954-262-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEREZU",
"first_name": "TIANA",
"middle_name": "TAMARA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OFC86",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002697",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.