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NPI Code Detail

MEDICARE: DR. SHERRY KAO OD

MEDICARE: DR. SHERRY KAO 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
1152W00000XOptometrist009985NY
2152W00000XOptometristOPC6815FL

General Provider Information

NPI Number : 1386482594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRY KAO OD
Provider Business Mailing Address
First Line : 800 N FAIRFIELD DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 N FAIRFIELD DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4313
Country : US
Telephone Number : 850-456-5059
Fax Number : 850-456-0461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2024
Last Update Date : 11/14/2025

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