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Search › Florida › 152W00000X

Jerry Siegel, OD

NPI 1265452908 · on the registry since 2006 · sole proprietor

Practice

Address
13550 W Sunrise Blvd
Sunrise, FL 33323
Phone
(954) 838-0700
Organisation at this address
Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida