Individual
DR. MATTHEW R SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
410 THEATRE DR, JOHNSTOWN, PA 15904-2817
(814) 269-3660
(814) 269-3660
Mailing address
410 THEATRE DR, JOHNSTOWN, PA 15904-2817
(814) 269-3660
(814) 269-3660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002475
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032446480001
—
PA
Enumeration date
06/24/2011
Last updated
09/16/2020
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