Provider Demographics
NPI:1386794311
Name:PICKERING, SHERYL B (OD)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:B
Last Name:PICKERING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:B
Other - Last Name:PICKERING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2518 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3209
Mailing Address - Country:US
Mailing Address - Phone:713-522-2522
Mailing Address - Fax:713-522-5330
Practice Address - Street 1:2518 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3209
Practice Address - Country:US
Practice Address - Phone:713-522-2522
Practice Address - Fax:713-522-5330
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03208TG174400000X
TX3208TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8526K1Medicare PIN