NPI 1114910536

Carol Ann Sheker Main, OD

Practitioner Optometrist Wisconsin Rapids, WI

Practice location

Address: 1220 Parkwood Dr, Wisconsin Rapids, WI 54494-5488
Phone: (715) 421-2111
Fax: (715) 421-2123
Mailing address: 1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties (5)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3055-035 (WI)

Other Optometrist providers in Wisconsin →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046009797 (IL)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3476AT (OR)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3058 (MN)

Pediatric Optometrist

Eye and Vision Services Providers Taxonomy 152WP0200X Licence 3055-035 (WI)

Registry record

NPI: 1114910536
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2005
Record last updated: 24 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.