Individual provider Active NPI

Melvin Roy Berman, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1982699856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0862 Issued in NC
Practice address
1601 E Millbrook Rd
Raleigh, NC 27609-4908
Phone
(919) 872-2020
Fax
(919) 872-3207
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0862 NC Primary

Addresses

Primary practice location

1601 E Millbrook Rd
Raleigh, NC 27609-4908

Mailing address

1601 E Millbrook Rd
Raleigh, NC 27609-4908
Phone (919) 872-2020

Other identifiers 1

IdentifierTypeStateIssuer
8909066MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100809000163 NC Practitioner - Optometry 1254464464 Practice locations: Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 E Millbrook Rd
Raleigh, NC 27609-4908
Phone (919) 872-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0862NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Melvyn Roy Berman, O.D., P.a Optometrist PastSince Feb 26, 1996 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982699856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094908",
            "telephone_number": "919-872-2020",
            "fax_number": "919-872-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094908",
            "telephone_number": "919-872-2020",
            "fax_number": "919-872-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MELVIN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909066",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.