Individual
DR. JOHN EDWARD SHEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
288 N PARK ST, DECATUR, IL 62523-1306
(217) 422-3881
Mailing address
7720 N CRESTLINE DR, PEORIA, IL 61615-1907
(309) 693-9540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002299B
IN
152W00000X
Optometrist
OD001172
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009270
—
IL
Enumeration date
11/18/2005
Last updated
06/23/2010
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