# ROBERT GERSON O.D.

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

## Provider details

- **NPI number:** 1841545290
- **Authorized official:** DR. ROBERT GERSON O.D. (OPTOMETRIST)
- **Authorized official phone:** (904) 771-8321

## Contact information

- **Practice address:** 3737 BLANDING BLVD, JACKSONVILLE, FL 32210-5242
- **Practice address phone:** (904) 771-8321
- **Practice address fax:** (904) 771-3389
- **Mailing address:** 3737 BLANDING BLVD, JACKSONVILLE, FL 32210-5242
- **Mailing address phone:** (904) 771-8321
- **Mailing address fax:** (904) 771-3389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2012
- **Last updated:** 07/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 084336900 | — | FL |