| James M Beranek Od Pa | |
|
3277 Hollywood Blvd, Hollywood, FL 33021-6906 | |
| (954) 987-6500 | |
| (954) 966-2020 |
| Full Name | James M Beranek Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3277 Hollywood Blvd, Hollywood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124000146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC3779 (Florida) | Primary |
| Provider Name | James M Beranek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124292206 PECOS PAC ID: 6800797614 Enrollment ID: I20040115000587 |
| Mailing Address | Practice Location Address |
|---|---|
| James M Beranek Od Pa 3277 Hollywood Blvd, Hollywood, FL 33021-6906 Ph: (954) 987-6500 | James M Beranek Od Pa 3277 Hollywood Blvd, Hollywood, FL 33021-6906 Ph: (954) 987-6500 |
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Dr. James Matthew Beranek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3277 Hollywood Blvd, Hollywood, FL 33021 Phone: 954-987-6500 Fax: 954-966-2020 | |
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