# JAMES A KRISEL OD PA

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

## Provider details

- **NPI number:** 1437469889
- **Authorized official:** JAMES A KRISEL OD (CEO)
- **Authorized official phone:** (954) 961-1509

## Contact information

- **Practice address:** 6942 STIRLING RD, HOLLYWOOD, FL 33024-1800
- **Practice address phone:** (954) 961-1509
- **Practice address fax:** (954) 961-1604
- **Mailing address:** 6942 STIRLING RD, HOLLYWOOD, FL 33024-1800
- **Mailing address phone:** (954) 961-1509
- **Mailing address fax:** (954) 961-1604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC0954 | FL | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 10/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 19211 | — | FL |