Healthcare Provider Details

I. General information

NPI: 1396779849
Provider Name (Legal Business Name): CHRISTINE LYNN BEILING-SHEERER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE L BEILING-SHEERER O.D.

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 12/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4463 WEYMOUTH RD
MEDINA OH
44256-9249
US

IV. Provider business mailing address

4463 WEYMOUTH RD
MEDINA OH
44256-9249
US

V. Phone/Fax

Practice location:
  • Phone: 330-722-2150
  • Fax: 330-722-2055
Mailing address:
  • Phone: 330-722-2150
  • Fax: 330-722-2055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3918-T847
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number3918-T847
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number3918-T847
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number3918-T847
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: