Provider Demographics
NPI:1972885457
Name:EYE CARE SOLUTIONS
Entity type:Organization
Organization Name:EYE CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-704-4345
Mailing Address - Street 1:10800 PINES BLVD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-5216
Mailing Address - Country:US
Mailing Address - Phone:954-704-4345
Mailing Address - Fax:954-885-4919
Practice Address - Street 1:10800 PINES BLVD
Practice Address - Street 2:SUITE 7
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-5216
Practice Address - Country:US
Practice Address - Phone:954-704-4345
Practice Address - Fax:954-885-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2870332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620567401Medicaid
FL1306857420OtherNPI
FL20622Medicare PIN
FL1306857420OtherNPI