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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306857420 | NPPES |
| Florida | Other | GO144Y | MEDICARE PTAN |
| Florida | MEDICAID | 620567402 | MEDICARE PTAN |
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