Organization Active NPI

Melvyn Roy Berman, O.D., P.a

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1992101174
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC0862 Issued in NC
Legal business name
MELVYN ROY BERMAN, O.D., P.A
Practice address
1601 E Millbrook Rd
Raleigh, NC 27609-4908
Phone
(919) 872-2020
Fax
(919) 872-3207
NPI assigned
Nov 14, 2014
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Melvyn Roy Berman, O.D.
Title
O.D./Owner
Phone
(919) 872-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC0862 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1992101174",
    "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": {
        "organization_name": "MELVYN ROY BERMAN, O.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "O.D./OWNER",
        "authorized_official_telephone_number": "919-872-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC0862",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.