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Organization
G&M ODS PA
Active
Organization
G&M ODS PA
Active
Other names
20 20 plus Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE DAWN JHAGROO OD (CO-OWNER/OPTOMETRIC PHYSICIAN)
(954) 347-3941
Entity
Organization
Contact information
Practice address
16131 SW 2ND DR, PEMBROKE PINES, FL 33027-1054
(954) 347-3941
Mailing address
16131 SW 2ND DR, PEMBROKE PINES, FL 33027-1054
(954) 347-3941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
NULL
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
NULL
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
NULL
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
NULL
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
NULL
152WX0102X
Occupational Vision Optometrist
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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