Provider Demographics
NPI:1255512133
Name:TERRY SHEETS OPTICAL INC
Entity type:Organization
Organization Name:TERRY SHEETS OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:SHEETS
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:513-791-3336
Mailing Address - Street 1:9030 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7741
Mailing Address - Country:US
Mailing Address - Phone:513-791-3336
Mailing Address - Fax:513-791-3352
Practice Address - Street 1:9030 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7741
Practice Address - Country:US
Practice Address - Phone:513-791-3336
Practice Address - Fax:513-791-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2420SC332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier