Basic Information
| Provider Information | |||||||||
| NPI: | 1497268189 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PAMELA S. SHEFFIELD, O.D. | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 600 PUTNAM PIKE STE 3 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028281487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4019497300 | ||||||||
| FaxNumber: | 4019495052 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 PUTNAM PIKE STE 3 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028281487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4019497300 | ||||||||
| FaxNumber: | 4019495052 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2017 | ||||||||
| LastUpdateDate: | 12/11/2017 | ||||||||
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| AuthorizedOfficialLastName: | SHEFFIELD | ||||||||
| AuthorizedOfficialFirstName: | PAMELA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4019497300 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | ODT453 | RI | N | 193200000X MULTI-SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist | 152W00000X | ODTG00478 | RI | Y | 193200000X MULTI-SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.