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NPI Code Detail

MEDICARE: ANETTE SHERWOOD, OPTOMETRIST, P.C.

MEDICARE: ANETTE SHERWOOD, OPTOMETRIST, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2331CO

General Provider Information

NPI Number : 1154645109
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANETTE SHERWOOD, OPTOMETRIST, P.C.
Provider Business Mailing Address
First Line : 5550 E WOODMEN RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-5257
Country : US
Telephone Number : 719-531-5566
Fax Number : 719-531-9410
Provider Business Practice Location Address
First Line : 5550 E WOODMEN RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-5257
Country : US
Telephone Number : 719-531-5566
Fax Number : 719-531-9410
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANETTE HIKIDA SHERWOOD
Credential : O.D.
Telephone Number : 719-531-5566
Provider Enumeration Date : 03/19/2010
Last Update Date : 03/19/2010

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