Organization
PREMIUM VISION GROUP
Active
Other names
Premium Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERIN K JOSEPH OD (PRESIDENT/OPTOMETRIST)
(954) 309-8647
Entity
Organization
Contact information
Practice address
9840 W SAMPLE RD, CORAL SPRINGS, FL 33065-4006
(954) 755-3750
(954) 755-3799
Mailing address
9840 W SAMPLE RD, CORAL SPRINGS, FL 33065-4006
(954) 755-3750
(954) 755-3799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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