Individual provider Active NPI

Richard A. Berman, O.D.

  • Optometrist
  • Coral Springs, FL
National Provider Identifier
1861533804
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3211 Issued in FL
Practice address
4635 N University Dr
C/O for Eyes Optical
Coral Springs, FL 33067-4602
Phone
(954) 905-3474
Fax
(954) 227-2898
NPI assigned
Feb 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3211 FL Primary

Addresses

Primary practice location

4635 N University Dr
C/O for Eyes Optical
Coral Springs, FL 33067-4602

Mailing address

4112 Oxbow Dr
Coconut Creek, FL 33073-5116
Phone (954) 675-7447

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
I20210416001722 FL Practitioner - Optometry 5092123745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4635 N University Dr
Coral Springs, FL 33067-4602
Phone (954) 905-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Berman, O.D., P.a. Optometrist CurrentSince Apr 1, 2021 Accepting new patients
World Vision Center I Optometrist Past Accepting new patients
World Vision Centers II Inc Optometrist Past Accepting new patients
Lens Spot Inc II Past Accepting new patients
Karen Memoli OD PA Optometrist Past Accepting new patients

Locations

4635 N University Dr
Coral Springs, FL 33067
Phone (954) 905-3474

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1861533804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 OXBOW DR",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330735116",
            "telephone_number": "954-675-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 N UNIVERSITY DR",
            "address_2": "C/O FOR EYES OPTICAL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674602",
            "telephone_number": "954-905-3474",
            "fax_number": "954-227-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.