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NPI Code Detail

MEDICARE: AVONLEA RUTH SHERERS OD

MEDICARE:   AVONLEA RUTH SHERERS  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3043-IODWV

General Provider Information

NPI Number : 1972333128
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVONLEA RUTH SHERERS OD
Provider Business Mailing Address
First Line : 256 LAFAYETTE ST
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-2009
Country : US
Telephone Number : 304-645-2774
Fax Number :
Provider Business Practice Location Address
First Line : 256 LAFAYETTE ST
Second Line :
City : LEWISBURG
State : WV
Zip : 24901-2009
Country : US
Telephone Number : 304-645-2774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2024
Last Update Date : 05/22/2026

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Directions to “ AVONLEA RUTH SHERERS OD” Practice Location

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