MEDICARE: DR. SARA LESLEY BERKE 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	152WC0802X	Corneal and Contact Management Optometrist	OPC4959	FL
2	152W00000X	Optometrist	OPC4959	FL

General Provider Information

NPI Number	:	1265846240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA LESLEY BERKE O.D.

Provider Business Mailing Address
First Line	:	540 NORTHWOOD RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5818
Country	:	US
Telephone Number	:	561-931-4114
Fax Number	:	561-931-4130

Provider Business Practice Location Address
First Line	:	540A NORTHWOOD RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5818
Country	:	US
Telephone Number	:	954-536-0813
Fax Number	:

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

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	03/13/2025

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