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Individual

DR. LINDA SUE SHENKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005071-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000390043002
COMMUNITY BLUE
NY
01
000390043004
COMMUNITY BLUE
NY
05
02505984
NY
01
161578122
NORTH AMERICAN PREFERRED
NY
01
251744484
EMPIRE - UNITED HEALTHCAR
NY
01
410042274
MEDICARE RAILROAD
NY
Enumeration date
06/16/2005
Last updated
05/21/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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