Provider Demographics
NPI:1164467072
Name:LAUGHINGHOUSE, SHERI L (OD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:L
Last Name:LAUGHINGHOUSE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:LYNN
Other - Last Name:SHEARER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:216 NORTHSTONE PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5494
Mailing Address - Country:US
Mailing Address - Phone:910-483-6094
Mailing Address - Fax:910-483-6094
Practice Address - Street 1:561 YOPP RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-3591
Practice Address - Country:US
Practice Address - Phone:910-353-2020
Practice Address - Fax:910-355-2021
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1527152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909512Medicaid
NC09512OtherBCBS NC
NC8909512Medicaid
NC2469418CMedicare PIN