Healthcare Provider Details

I. General information

NPI: 1003025974
Provider Name (Legal Business Name): ROBERT J SHERER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ROBERT J SHERER PC

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3226 10TH AVE S
GREAT FALLS MT
59405-3449
US

IV. Provider business mailing address

3226 10TH AVE S
GREAT FALLS MT
59405-3449
US

V. Phone/Fax

Practice location:
  • Phone: 406-205-3552
  • Fax: 406-952-0019
Mailing address:
  • Phone: 406-205-3552
  • Fax: 406-952-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number557
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: