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Contact Information

DONISE B SHERIDAN, OD
1400 COMMONWEALTH DR.
MAYFIELD, KY42066
 Phone: 270-247-2417
 Fax: 270-247-2090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DONISE B SHERIDAN · (Female)

NPI Number 1457325565
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/15/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1388DT
  • KY Medicaid 77013886
  • KY Other 5679620 AETNA
  • KY Other 000000214672 BLUE CROSS BLUE SHIELD
  • KY Other U68612 BLUEGRASS FAMILY HEALTH
  • KY Other 135441 COLE MANAGED VISION
  • KY Other 390980 HEALTHLINK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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