Organization
INFOCUS OPTICAL
Active
Other names
Jerry Siegel OD
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SIEGEL OD (OPTOMETRIST SOLE PROVIDER)
(561) 703-3230
Entity
Organization
Contact information
Practice address
5924 SHERIDAN ST, HOLLYWOOD, FL 33021-3246
(561) 703-3230
Mailing address
1919 VAN BUREN ST, STE 307, HOLLYWOOD, FL 33020-7810
(954) 924-2531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC695
FL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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