Provider Demographics
NPI:1942439500
Name:MEYER, SHERI E (OD)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:E
Last Name:MEYER
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 1:261W DATA DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-2372
Mailing Address - Country:US
Mailing Address - Phone:801-316-5820
Mailing Address - Fax:
Practice Address - Street 1:1438 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-3797
Practice Address - Country:US
Practice Address - Phone:801-886-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-03
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7366950-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist