Provider Demographics
NPI:1174821490
Name:STEVEN D. SHEINER OD, PA
Entity Type:Organization
Organization Name:STEVEN D. SHEINER OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHEINER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-391-3334
Mailing Address - Street 1:7035 BERACASA WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3405
Mailing Address - Country:US
Mailing Address - Phone:561-391-3334
Mailing Address - Fax:561-338-3432
Practice Address - Street 1:7035 BERACASA WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3405
Practice Address - Country:US
Practice Address - Phone:561-391-3334
Practice Address - Fax:561-338-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3172152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty