Selma J. Sheridan MD

Primary specialty

OpticianTaxonomy code 156FX1800X

License

132758 Issued in NY

Legal business name

SELMA J. SHERIDAN MD

Practice address

209 W 7TH St
Oswego, NY 13126-3676

Phone

(315) 343-9022

NPI assigned

Mar 3, 2008

Organization subpart

Yes

Parent organization

SELMA J. SHERIDAN MDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Selma J. Sheridan, MD

Title

Owner

Phone

(315) 343-9022

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eyewear Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• North Carl Hauschild, OD OPTOMETRIST

  • Optometrist
  • Auburn, NY
  • NPI 1942278239
  NPD (past)
• Corliss Adam Varnum, M.D.

  • Family Medicine Physician
  • Oswego, NY
  • NPI 1275523672
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1467622753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 7TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263676",
            "telephone_number": "315-343-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 7TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263676",
            "telephone_number": "315-343-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA J. SHERIDAN MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELMA J. SHERIDAN MD",
        "enumeration_date": "2008-03-03",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "SELMA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-343-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "132758",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "1121450001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00554476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kassi Schultz
• Amelia Vera Scott, MSW
• Malana H Scott, OTR/L
• Jocelyn A Seavey-Barnes, PTA
• Andrea Louise Seidner
• Daniel L Semeraro
• Seneca Hill Manor Adult Day Health Care
• Seneca Hill Manor, Inc.
• Margaret A Sennett, M.D.
• Edith Senyumba, M.D.

• Optician in Oswego, NY
• Providers in Oswego, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.