Sheridan Optical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

185T Issued in WY

Legal business name

SHERIDAN OPTICAL INC

Practice address

23 E Grinnell PLZ
Sheridan, WY 82801-3930

Phone

(307) 672-5516

Fax

(307) 672-7777

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew E Groshart, O.D.NPI 1053394932

Title

Owner

Phone

(307) 672-5516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Matthew E Groshart, O.D.

  • Optometrist
  • Sheridan, WY
  • NPI 1053394932
  NPD (past) Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1992774848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E GRINNELL PLZ",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013930",
            "telephone_number": "307-672-5516",
            "fax_number": "307-672-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E GRINNELL PLZ",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013930",
            "telephone_number": "307-672-5516",
            "fax_number": "307-672-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "GROSHART",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-672-5516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": "185T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106581500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheridan Medical Lab LLC
• Sheridan Memorial Sameday Health & Imaging Urgent Care
• Sheridan Neurology PC
• Sheridan Opco LLC
• Sheridan Optical II, LLC
• Sheridan Orthopaedic Associates, P C
• Sheridan Pathology Associates PC
• Sheridan Peak Wellness
• Sheridan Podiatry LLC
• Sheridan Radiology, LLC

• Durable Medical Equipment & Medical Supplies in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.