Provider Demographics
NPI:1003061656
Name:JONATHAN D SHER PC
Entity Type:Organization
Organization Name:JONATHAN D SHER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETIST
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-542-2269
Mailing Address - Street 1:312 A HWY 75
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-542-2269
Mailing Address - Fax:972-548-8802
Practice Address - Street 1:312 A HIGHWAY 75 N
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-542-2269
Practice Address - Fax:972-548-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04145TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5321310001Medicare NSC