Provider Demographics
NPI:1801166087
Name:SHEINHEIT, MELANIE (OD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SHEINHEIT
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 1:8025 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1230
Mailing Address - Country:US
Mailing Address - Phone:516-364-7474
Mailing Address - Fax:516-364-7417
Practice Address - Street 1:8025 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1230
Practice Address - Country:US
Practice Address - Phone:516-364-7474
Practice Address - Fax:516-364-7417
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT006399152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU87492Medicare UPIN