Healthcare Provider Details

I. General information

NPI: 1942920053
Provider Name (Legal Business Name): SIGHTCRAFT EYECARE AND CUSTOM OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 NORTHWOOD RD
WEST PALM BEACH FL
33407-5818
US

IV. Provider business mailing address

540 NORTHWOOD RD
WEST PALM BEACH FL
33407-5818
US

V. Phone/Fax

Practice location:
  • Phone: 561-931-4114
  • Fax: 561-931-4130
Mailing address:
  • Phone: 561-931-4114
  • Fax: 561-931-4130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: SARA BERKE
Title or Position: PRESIDENT/OPTOMETRIST
Credential: OD
Phone: 954-536-0813