Provider Demographics
NPI:1548785652
Name:VOGEN, SHERAH (OD)
Entity Type:Individual
Prefix:DR
First Name:SHERAH
Middle Name:
Last Name:VOGEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SHERAH
Other - Middle Name:
Other - Last Name:LABUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4301 WILSON ST
Mailing Address - Street 2:OPTOMETRY DEPARTMENT
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503
Mailing Address - Country:US
Mailing Address - Phone:580-558-8406
Mailing Address - Fax:
Practice Address - Street 1:4301 WILSON ST
Practice Address - Street 2:
Practice Address - City:FORT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503-4472
Practice Address - Country:US
Practice Address - Phone:580-558-8406
Practice Address - Fax:623-932-7847
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2205152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist