Provider Demographics
NPI:1275939100
Name:KESSELMAN, JOSEPH A (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:KESSELMAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:11605 PINES BLVD
Mailing Address - Street 2:LENSCRAFTERS AT MACY'S
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:305-850-3800
Mailing Address - Fax:305-850-3801
Practice Address - Street 1:11605 PINES BLVD
Practice Address - Street 2:LENSCRAFTERS AT MACY'S
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026
Practice Address - Country:US
Practice Address - Phone:954-438-2427
Practice Address - Fax:305-850-3801
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG002967152W00000X
FLOPC4993152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist