Provider Demographics
NPI:1205082864
Name:DREXLER, SHEILA Y (OD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:Y
Last Name:DREXLER
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 1:259 LANCEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5907
Mailing Address - Country:US
Mailing Address - Phone:724-858-0898
Mailing Address - Fax:
Practice Address - Street 1:259 LANCEWOOD PL
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5907
Practice Address - Country:US
Practice Address - Phone:724-858-0898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2572152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20510ZMedicare PIN