Provider Demographics
NPI:1184616773
Name:SCHEID, TERRY RAYMOND (OD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:RAYMOND
Last Name:SCHEID
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 MERRICK MALL
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3626
Mailing Address - Country:US
Mailing Address - Phone:516-546-3227
Mailing Address - Fax:516-546-4923
Practice Address - Street 1:2126 MERRICK MALL
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3626
Practice Address - Country:US
Practice Address - Phone:516-546-3227
Practice Address - Fax:516-546-4923
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT003396-1152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT81467Medicare UPIN