Provider Demographics
NPI:1154859775
Name:SHERIFF, CASSANDRA (OD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:SHERIFF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:HIGBEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3600 INVERARY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9435
Mailing Address - Country:US
Mailing Address - Phone:419-769-3001
Mailing Address - Fax:
Practice Address - Street 1:5688 W BROAD ST
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-8127
Practice Address - Country:US
Practice Address - Phone:614-853-2020
Practice Address - Fax:614-853-0154
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6549T3468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist