Healthcare Provider Details

I. General information

NPI: 1184616773
Provider Name (Legal Business Name): TERRY RAYMOND SCHEID O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 MERRICK MALL
MERRICK NY
11566-3626
US

IV. Provider business mailing address

2126 MERRICK MALL
MERRICK NY
11566-3626
US

V. Phone/Fax

Practice location:
  • Phone: 516-546-3227
  • Fax: 516-546-4923
Mailing address:
  • Phone: 516-546-3227
  • Fax: 516-546-4923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberVUT003396-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: