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NPI 1700728326

NPI 1700728326 : SHEPPARD OPTOMETRY PLLC : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1700728326
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHEPPARD OPTOMETRY PLLC 
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Dates
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    Enumeration Date     |    04/06/2026
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    Last Update Date     |    04/06/2026
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Provider Practice Location Address
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    Address Line         |    4154 MAIN AT NORTH HILLS ST 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27609-5754
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    Country              |    US
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    Telephone            |    919-899-2632
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    Fax                  |    919-372-1410
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Provider Business Mailing Address
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    Address Line         |    2220 RAVEN RD UNIT 103 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27614-6774
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    Country              |    US
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    Telephone            |    720-839-3999
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    Fax                  |    919-372-1410
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Authorized Official
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    Title or Position    |    OWNER/SOLE MEMBER
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    Name                 |     NATALYA  SHEPPARD 
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    Credential           |    OD
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    Telephone            |    720-839-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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