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NPI Code Detail

MEDICARE: KARSEN LEE SHERFICK OD

MEDICARE:   KARSEN LEE SHERFICK  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
1152W00000XOptometrist18004455AIN

General Provider Information

NPI Number : 1790553295
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARSEN LEE SHERFICK OD
Provider Business Mailing Address
First Line : 18882 MALLERY RD
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-6739
Country : US
Telephone Number : 317-379-9306
Fax Number :
Provider Business Practice Location Address
First Line : 8702 KEYSTONE XING STE 101B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-7811
Country : US
Telephone Number : 317-975-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2023
Last Update Date : 02/08/2025

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Directions to “ KARSEN LEE SHERFICK OD” Practice Location

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