Provider Demographics
NPI:1730377003
Name:ROBERT SHEIR O D P A
Entity type:Organization
Organization Name:ROBERT SHEIR O D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-682-7993
Mailing Address - Street 1:2925 AVENTURA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3124
Mailing Address - Country:US
Mailing Address - Phone:305-682-7993
Mailing Address - Fax:305-931-5203
Practice Address - Street 1:2925 AVENTURA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3124
Practice Address - Country:US
Practice Address - Phone:305-682-7993
Practice Address - Fax:305-931-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620483000Medicaid
FL620483000Medicaid
FLT93828Medicare UPIN