Provider Demographics
NPI:1992713945
Name:SCHEER, GARY STUART (OD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:STUART
Last Name:SCHEER
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 1:1815 SCOTT ST
Mailing Address - Street 2:WAL-MART VISION CENTER
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-1086
Mailing Address - Country:US
Mailing Address - Phone:419-599-1853
Mailing Address - Fax:419-599-1153
Practice Address - Street 1:1815 SCOTT ST
Practice Address - Street 2:WAL-MART VISION CENTER
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1086
Practice Address - Country:US
Practice Address - Phone:419-599-1853
Practice Address - Fax:419-599-1153
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4144152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U12833Medicare UPIN