Provider Demographics
NPI:1457776379
Name:SHERI M. MCGURK, OD, LLC
Entity Type:Organization
Organization Name:SHERI M. MCGURK, OD, LLC
Other - Org Name:WINTER PARK EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MCGURK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:407-677-8666
Mailing Address - Street 1:1933 ALOMA AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3212
Mailing Address - Country:US
Mailing Address - Phone:407-677-8666
Mailing Address - Fax:407-678-4489
Practice Address - Street 1:1933 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3212
Practice Address - Country:US
Practice Address - Phone:407-677-8666
Practice Address - Fax:407-678-4489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2175152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty