Healthcare Provider Details
I. General information
NPI: 1336221159
Provider Name (Legal Business Name): LAMPERT & SHEINER, ODS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7035 BERACASA WAY SUITE 101
BOCA RATON FL
33433-3405
US
IV. Provider business mailing address
7035 BERACASA WAY SUITE 101
BOCA RATON FL
33433-3405
US
V. Phone/Fax
- Phone: 561-391-3334
- Fax: 561-338-3432
- Phone: 561-391-3334
- Fax: 561-338-3432
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 3172 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WV0400X |
| Taxonomy | Vision Therapy Optometrist |
| License Number | 1942 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
STEVEN
D
SHEINER
Title or Position: PRESIDENT/OWNER
Credential: O.D.
Phone: 561-391-3334