Mrs Sherry Lynne Shepherd, | |
102 Santa Fe Ave, La Junta, CO 81050-1523 | |
(719) 384-8719 | |
(719) 384-8738 |
Full Name | Mrs Sherry Lynne Shepherd |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 102 Santa Fe Ave, La Junta, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417012956 | NPI | - | NPPES |
73921050 | Medicaid | CO | |
P00476844 | Other | CO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2337 (Colorado) | Primary |
Provider Name | Eye Care Associates Of Co Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124674049 PECOS PAC ID: 9537597828 Enrollment ID: O20200320000163 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sherry Lynne Shepherd, 27 Montebello Rd, Pueblo, CO 81001-1236 Ph: (719) 545-1530 | Mrs Sherry Lynne Shepherd, 102 Santa Fe Ave, La Junta, CO 81050-1523 Ph: (719) 384-8719 |
Abba Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 314 Colorado Ave, La Junta, CO 81050 Phone: 719-384-2020 Fax: 719-384-4423 | |
Ballantyne Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 302 W 3rd St, La Junta, CO 81050 Phone: 719-383-0134 Fax: 719-404-1825 | |
Dr. Jordan Brett Ballantyne, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 302 W 3rd St, La Junta, CO 81050 Phone: 719-383-0134 Fax: 719-404-1825 | |
Ellington Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6 Conley Rd, La Junta, CO 81050 Phone: 719-383-2593 | |
Dr. Taylor Lane Fiss, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 302 W 3rd St, La Junta, CO 81050 Phone: 620-453-1108 |