# JAMES M BERANEK OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124000146
- **Authorized official:** DR. JAMES MATTHEW BERANEK OD (PRESIDENT)
- **Authorized official phone:** (954) 987-6500

## Contact information

- **Practice address:** 4340 SHERIDAN ST STE 102, HOLLYWOOD, FL 33021-3555
- **Practice address phone:** (954) 987-6500
- **Practice address fax:** (954) 966-2020
- **Mailing address:** 4340 SHERIDAN ST STE 102, HOLLYWOOD, FL 33021-3555
- **Mailing address phone:** (954) 987-6500
- **Mailing address fax:** (954) 966-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3779 | FL | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 04/11/2025