Individual
DR. MICHAEL JAY GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D.
Contact information
Practice address
3200 S UNIVERSITY DR, TERRY 1456, DAVIE, FL 33328-2018
(954) 262-1456
Mailing address
9365 FIELDS ERTEL RD, CINCINNATI, OH 45249-8302
(513) 677-9555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5453 T2365
OH
152W00000X
Optometrist
8976T
CA
152W00000X
Optometrist
OFC 33
FL
Other
Enumeration date
02/26/2007
Last updated
05/07/2014
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