Provider Demographics
NPI:1225209059
Name:DORESH INC.
Entity Type:Organization
Organization Name:DORESH INC.
Other - Org Name:U.S. OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:302-475-5562
Mailing Address - Street 1:1812 MARSH RD
Mailing Address - Street 2:SUITE 427
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4581
Mailing Address - Country:US
Mailing Address - Phone:302-475-5562
Mailing Address - Fax:302-475-4827
Practice Address - Street 1:1812 MARSH RD
Practice Address - Street 2:SUITE 427
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4581
Practice Address - Country:US
Practice Address - Phone:302-475-5562
Practice Address - Fax:302-475-4827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0699040001Medicare NSC