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NPI Code Detail

MEDICARE: ANETTE H SHERWOOD O.D.

MEDICARE: ANETTE H SHERWOOD O.D.
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 : 1235193129
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANETTE H SHERWOOD O.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 03/19/2010

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