Provider Demographics
NPI:1992844062
Name:SHERMAN, DAVID N (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:N
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3809 PLAZA DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4625
Mailing Address - Country:US
Mailing Address - Phone:760-945-0222
Mailing Address - Fax:760-945-1473
Practice Address - Street 1:3809 PLAZA DR
Practice Address - Street 2:SUITE 103
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4625
Practice Address - Country:US
Practice Address - Phone:760-945-0222
Practice Address - Fax:760-945-1473
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8324T152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY3241Medicare UPIN