# MR. MICHAEL THOMAS FERGUSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750592101
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2719 | FL | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05113 | SPECTARA | FL |
| 01 | — | 10047 | NVA | FL |
| 01 | — | 10451 | SVS FORD | FL |
| 01 | — | 2449 | DAVIS | FL |
| 01 | — | 38742 | AVESIS | FL |