Provider Demographics
NPI:1659457919
Name:SHEFFIELD, PAMELA S (OD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:S
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 PUTNAM PIKE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02828
Mailing Address - Country:US
Mailing Address - Phone:401-949-7300
Mailing Address - Fax:401-949-5052
Practice Address - Street 1:600 PUTNAM PIKE
Practice Address - Street 2:SUITE 3
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02828
Practice Address - Country:US
Practice Address - Phone:401-949-7300
Practice Address - Fax:401-949-5052
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-30
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00478152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9007903Medicaid
RI0469790001OtherNSC
RI419007903Medicare PIN