Provider Demographics
NPI:1306330022
Name:SHEARMAN, JUSTIN (OD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:
Last Name:SHEARMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 FOUST DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-4009
Mailing Address - Country:US
Mailing Address - Phone:814-341-2697
Mailing Address - Fax:
Practice Address - Street 1:182 FALON LN
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-6541
Practice Address - Country:US
Practice Address - Phone:814-201-5407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-16
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003404152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist