Individual
DR. DONISE B. SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1400 COMMONWEALTH DR., MAYFIELD, KY 42066
(270) 247-2417
(270) 247-2090
Mailing address
1400 COMMONWEALTH DR, MAYFIELD, KY 42066
(270) 247-2417
(270) 247-2090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1388DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214672
BLUE CROSS BLUE SHIELD
KY
01
—
135441
COLE MANAGED VISION
KY
01
—
390980
HEALTHLINK
KY
01
—
5679620
AETNA
KY
05
—
77013886
—
KY
01
—
U68612
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
02/15/2006
Last updated
03/07/2023
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