Organization
DR. DENNIS I. FETCH O.D,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS IVAN FETCH OD (OWNER DOCTOR)
(954) 491-6663
Entity
Organization
Contact information
Practice address
5200 N FEDERAL HWY, 4, FORT LAUDERDALE, FL 33308-3253
(954) 491-6663
(954) 491-6697
Mailing address
5200 N FEDERAL HWY, 4, FORT LAUDERDALE, FL 33308-3253
(954) 491-6663
(954) 491-6697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1081
FL
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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