Provider Demographics
NPI:1992947907
Name:ROCKOWER, SHERRI (OD, MS PA)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:
Last Name:ROCKOWER
Suffix:
Gender:F
Credentials:OD, MS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 931018
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-3462
Mailing Address - Country:US
Mailing Address - Phone:954-925-2740
Mailing Address - Fax:954-923-8379
Practice Address - Street 1:300 S PARK RD STE 300
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8353
Practice Address - Country:US
Practice Address - Phone:195-492-5527
Practice Address - Fax:954-923-8379
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4376152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003295800Medicaid
FLCC004YMedicare PIN