Justin Sherman, OD
Optometrist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669929501
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1669929501
- Entity type
- Individual (NPI-1)
- Name
- Justin Sherman
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2016
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG003226 | PA | Yes |
Practice location
1930 S Broad St Unit 9Philadelphia, PA 19145-2328
Phone 800-448-6767 · Fax 215-339-8103
Mailing address
303 Horsham Rd Ste GHorsham, PA 19044-2029
Phone 267-965-2599 · Fax 267-965-2598
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