DR. Jerry Beauchamp, O.D.

NPI #1043354541 in Doral, Florida

Provider Information

NPI Number: 1043354541
Entity Type: Individual
Name: DR. Jerry Beauchamp, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1625 NW 107TH AVE
City: Doral
State: Florida
ZIP Code: 33172-2707
Phone: (305) 470-7866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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