MEDICARE: DR. JENNIFER ERIN SHEWRING 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
1	152W00000X	Optometrist	5573	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1831135797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ERIN SHEWRING OD

Provider Business Mailing Address
First Line	:	553 E TOWN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-4856
Country	:	US
Telephone Number	:	614-461-1885
Fax Number	:	614-461-5730

Provider Business Practice Location Address
First Line	:	1070 POLARIS PKWY STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-4039
Country	:	US
Telephone Number	:	614-880-1493
Fax Number	:	614-880-1493

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	03/17/2018

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