Provider Demographics
NPI:1871223974
Name:MCVEY, SHERIE (LDO)
Entity Type:Individual
Prefix:
First Name:SHERIE
Middle Name:
Last Name:MCVEY
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WALMART WAY
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-7217
Mailing Address - Country:US
Mailing Address - Phone:606-784-2090
Mailing Address - Fax:606-784-2124
Practice Address - Street 1:200 WALMART WAY
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-7217
Practice Address - Country:US
Practice Address - Phone:606-784-2090
Practice Address - Fax:606-784-2124
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY110228156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician