Provider Demographics
NPI:1386817096
Name:ADAM S PERLMAN OD PA
Entity Type:Organization
Organization Name:ADAM S PERLMAN OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST SOLE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-695-6617
Mailing Address - Street 1:3001 NE 185TH ST
Mailing Address - Street 2:#337
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3347
Mailing Address - Country:US
Mailing Address - Phone:954-695-6617
Mailing Address - Fax:
Practice Address - Street 1:483 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1867
Practice Address - Country:US
Practice Address - Phone:305-403-7312
Practice Address - Fax:305-456-2703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4049152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001391700Medicaid
FL001391700Medicaid