Provider Demographics
NPI:1346279072
Name:DENNIS P. SHERRERD, OD,PC
Entity Type:Organization
Organization Name:DENNIS P. SHERRERD, OD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHERRERD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:308-234-9913
Mailing Address - Street 1:220 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2802
Mailing Address - Country:US
Mailing Address - Phone:308-234-9913
Mailing Address - Fax:
Practice Address - Street 1:220 W 39TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2802
Practice Address - Country:US
Practice Address - Phone:308-234-9913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE761152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty