Organization
SELMA J. SHERIDAN MD
Active
Parent organization
SELMA J. SHERIDAN MD
Other names
Eyewear Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELMA J. SHERIDAN MD
Authorized official
DR. SELMA J. SHERIDAN MD (OWNER)
(315) 343-9022
Entity
Organization
Contact information
Practice address
209 W 7TH ST, OSWEGO, NY 13126-3676
(315) 343-9022
Mailing address
209 W 7TH ST, OSWEGO, NY 13126-3676
(315) 343-9022
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
132758
NY
332H00000X
Eyewear Supplier
1121450001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554476
—
NY
Enumeration date
03/03/2008
Last updated
01/23/2014
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