Provider Demographics
NPI:1366519548
Name:SHEFFIELD, AMY G (OD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:G
Last Name:SHEFFIELD
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 1:11 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-5302
Mailing Address - Country:US
Mailing Address - Phone:856-222-4850
Mailing Address - Fax:
Practice Address - Street 1:1330 FAIRVIEW BLVD
Practice Address - Street 2:STE A
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1472
Practice Address - Country:US
Practice Address - Phone:856-829-5212
Practice Address - Fax:856-829-1105
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ5065152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ631823OtherAMERIHEALTH ADMINISTRATOR
NJ631823OtherOPTICHOICE
NJ0461777000OtherAMERIHEALTH
NJNJ5065OtherEYE MED
NJ223131493OtherHORIZON BLUE CROSS SHIELD
NJ37063OtherDAVIS VISION
NJ311132OtherNVA
NJ11530OtherSPECTERA
NJ17155OtherAETNA
NJP3058212OtherOXFORD
NJ631823OtherOPTICHOICE
NJNJ5065Medicare UPIN