Provider Demographics
NPI:1427394493
Name:SHELDON VISION CARE, P.C.
Entity Type:Organization
Organization Name:SHELDON VISION CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:MICHELS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:712-324-5151
Mailing Address - Street 1:323 9TH ST
Mailing Address - Street 2:P.O. BOX 409
Mailing Address - City:SHELDON
Mailing Address - State:IA
Mailing Address - Zip Code:51201-1556
Mailing Address - Country:US
Mailing Address - Phone:712-324-5151
Mailing Address - Fax:712-324-5036
Practice Address - Street 1:323 9TH ST
Practice Address - Street 2:
Practice Address - City:SHELDON
Practice Address - State:IA
Practice Address - Zip Code:51201-1556
Practice Address - Country:US
Practice Address - Phone:712-324-5151
Practice Address - Fax:712-324-5036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty