Infocus Optical

NPI 1215157755 - Optometrist - 152W00000X

NPI Details
NPI 1215157755
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JERRY JERRY
Position OPTOMETRIST SOLE PROVIDER
Phone (561) 703-3230
Fax
Practice Location
5924 SHERIDAN ST
HOLLYWOOD FL, 33021-3246, US
Phone (561) 703-3230
Fax
Business Location
1919 VAN BUREN ST
STE 307
HOLLYWOOD FL, 33020-7810, US
Phone (954) 924-2531
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC695
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According to our database, Infocus Optical NPI is 1215157755, taxonomy code is 152W00000X and license number is OPC695, license state is located at Florida. Infocus Optical physically located at 5924 Sheridan St, Hollywood FL, 33021-3246. NPI Number 1033115704 has the healthcare provider type.

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1215157755 NPI number is provided on an as is basis without warranty of any kind. 1215157755 is maintained by the National Plan & Provider Enumeration System. The contents of Infocus Optical are for informational purposes only.