Provider Demographics
NPI:1750494852
Name:SHERMAN, VERANIKA (OD)
Entity Type:Individual
Prefix:DR
First Name:VERANIKA
Middle Name:
Last Name:SHERMAN
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 1:15023 73RD AVE APT 3H
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2614
Mailing Address - Country:US
Mailing Address - Phone:646-610-2222
Mailing Address - Fax:718-268-4961
Practice Address - Street 1:115-02 LIBERTY AVE
Practice Address - Street 2:LENSMASTERS
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419
Practice Address - Country:US
Practice Address - Phone:718-835-8000
Practice Address - Fax:718-845-5025
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007058152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02916356Medicaid
NY02916356Medicaid