Jerry Siegel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC695 Issued in FL

Practice address

13550 W Sunrise Blvd
Sunrise, FL 33323-3902

Phone

(954) 838-0700

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Infocus Optical

  • Optometrist
  • Hollywood, FL
  • NPI 1215157755
  NPD (past) Authorized official
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1265452908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VAN BUREN ST",
            "address_2": "#307",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207810",
            "telephone_number": "954-838-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 W SUNRISE BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233902",
            "telephone_number": "954-838-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Shtulman, D.C.
• Jason Shull, ARNP
• Steven Shulman, HAS,BC-HIS, A.C.A.
• Mahreen A Siddiqui, MD
• Sidney J Stern Visual Health Centers PA
• Cristina Marlene Sierra, M.S. SLP-CF
• Lindsey Nicole Sigel, COTA/L
• Sighttrust Eye Institute Surgery Center, P.a.
• Sighttrust Eye Institute, P.a.
• Diane Lynn Silberman, PT

• Optometrist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.