MEDICARE: DR. IRA BERMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC3870	FL

General Provider Information

NPI Number	:	1336172493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA BERMAN O.D.

Provider Business Mailing Address
First Line	:	22450 ARCADIA CT
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-5547
Country	:	US
Telephone Number	:	561-212-1648
Fax Number	:	561-870-0123

Provider Business Practice Location Address
First Line	:	8903 GLADES RD STE A14
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33434-4023
Country	:	US
Telephone Number	:	561-477-3524
Fax Number	:	618-700-1235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	02/26/2025

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