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NPI Code Detail

MEDICARE: SHERYL LINDMAN OD

MEDICARE:   SHERYL  LINDMAN  OD
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
1152W00000XOptometrist2631WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285628172
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL LINDMAN OD
Provider Business Mailing Address
First Line : 1950 OLD GALLOWS RD STE 520
Second Line :
City : VIENNA
State : VA
Zip : 22182-3970
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 2644 N 8TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53083-4921
Country : US
Telephone Number : 920-458-3312
Fax Number : 920-458-6827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/12/2025

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