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General NPI Number Information
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NPI Number | 1659454247
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Entity Type | Organization
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Legal Business Name | SHEER VISION CENTER LLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33 UPPER RIVERDALE RD SW SUITE 19
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City | RIVERDALE
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State | GA
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Zip | 30274-2626
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Country | US
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Telephone | 770-991-9532
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Fax | 770-991-9206
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Provider Business Mailing Address
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Address Line | 33 UPPER RIVERDALE RD SW SUITE 14
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City | RIVERDALE
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State | GA
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Zip | 30274-2626
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Country | US
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Telephone | 770-991-1624
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Fax | 770-991-9206
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GLENN STEPHEN SHEAR
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Credential | M.D.
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Telephone | 770-991-1624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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