Beauchamp, Jerry

Beauchamp, Jerry is an sole proprietor health care provider with primary practice located at 1625 Nw 107Th Ave , Doral FL 33172-2707. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Beauchamp, Jerry can be contacted via phone (305) 470-7866.

Contact Information

Primary practice address
1625 Nw 107Th Ave Doral FL 33172-2707
Phone: (305) 470-7866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1715 Florida

Profile Details

NPI number 1043354541
LBN Legal business name Beauchamp, Jerry
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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