Individual
CAROL ANN SHEKER MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1220 PARKWOOD DR, WISCONSIN RAPIDS, WI 54494-5488
(715) 421-2111
(715) 421-2123
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009797
IL
152W00000X
Optometrist
Primary
3055-035
WI
152W00000X
Optometrist
3058
MN
152W00000X
Optometrist
3476AT
OR
152WP0200X
Pediatric Optometrist
3055-035
WI
Other
Enumeration date
08/31/2005
Last updated
05/24/2021
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