# GARY P GEGERSON, O.D.,P.A.

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

## Provider details

- **NPI number:** 1821366204
- **Authorized official:** GARY PAUL GEGERSON O.D, (PRESIDENT)
- **Authorized official phone:** (305) 256-2525

## Contact information

- **Practice address:** 12139 S DIXIE HWY, PINECREST, FL 33156-5200
- **Practice address phone:** (305) 256-2525
- **Practice address fax:** (305) 252-7770
- **Mailing address:** 12139 S DIXIE HWY, PINECREST, FL 33156-5200
- **Mailing address phone:** (305) 256-2525
- **Mailing address fax:** (305) 252-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC001575 | FL | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011