Provider Demographics
NPI:1295745974
Name:LENTFER, SHERYL ANNE (OD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANNE
Last Name:LENTFER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12570 OLD SEWARD HWY., SUITE 104
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515
Mailing Address - Country:US
Mailing Address - Phone:907-334-3937
Mailing Address - Fax:907-885-2522
Practice Address - Street 1:12570 OLD SEWARD HWY.
Practice Address - Street 2:SUITE 104
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3506
Practice Address - Country:US
Practice Address - Phone:907-334-3937
Practice Address - Fax:907-885-2522
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK173152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKOD1173Medicaid
AK00WCKFRHMedicare ID - Type UnspecifiedMEDICARE
AKU64684Medicare UPIN
AK0397780001Medicare NSC