# CHARLES G SHERMETARO, OD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811174410
- **Authorized official:** DR. CHARLES GERARD SHERMETARO O.D. (OWNER/OPTOMETRIST)
- **Authorized official phone:** (586) 247-2121

## Contact information

- **Practice address:** 48873 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
- **Practice address phone:** (586) 247-2121
- **Practice address fax:** (586) 532-7480
- **Mailing address:** 48873 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
- **Mailing address phone:** (586) 247-2121
- **Mailing address fax:** (586) 532-7480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 4901003001 | MI | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 02/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 944672833 | — | MI |