Provider Demographics
NPI:1336172493
Name:BERMAN, IRA (OD)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:BERMAN
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22450 ARCADIA CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5547
Mailing Address - Country:US
Mailing Address - Phone:561-212-1648
Mailing Address - Fax:561-870-0123
Practice Address - Street 1:8903 GLADES RD STE A14
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4023
Practice Address - Country:US
Practice Address - Phone:561-477-3524
Practice Address - Fax:618-700-1235
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3870152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist