# INFOCUS OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jerry Siegel OD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215157755
- **Authorized official:** JERRY SIEGEL OD (OPTOMETRIST SOLE PROVIDER)
- **Authorized official phone:** (561) 703-3230

## Contact information

- **Practice address:** 5924 SHERIDAN ST, HOLLYWOOD, FL 33021-3246
- **Practice address phone:** (561) 703-3230
- **Mailing address:** 1919 VAN BUREN ST, STE 307, HOLLYWOOD, FL 33020-7810
- **Mailing address phone:** (954) 924-2531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC695 | FL | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020