Berman, Gary

Berman, Gary is an sole proprietor health care provider with primary practice located at 4815 Nw 183Rd St , Miami Gardens FL 33055-2955. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Berman, Gary can be contacted via phone (305) 621-3830.

Contact Information

Primary practice address
4815 Nw 183Rd St Miami Gardens FL 33055-2955
Phone: (305) 621-3830
Fax: (305) 621-3831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2870 Florida

Profile Details

NPI number 1306857420
LBN Legal business name Berman, Gary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Jan 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306857420 NPPES
Florida Other GO144Y MEDICARE PTAN
Florida MEDICAID 620567402 MEDICARE PTAN

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