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Charles Gerard Shermetaro

Optometrist

Eye and Vision Services Providers

48873 Hayes Rd, Shelby Township, MI 48315-4405

PECOS Enrollment

This provider is enrolled in PECOS as CHARLES SHERMETARO.

Based on the most recent information from CMS, provider Charles Gerard Shermetaro is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982678454
Provider Type
Individual
Full Name
Shermetaro, Charles Gerard
Title
Dr.
Credential
O.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/13/2006
Last Updated
1/13/2010

Contact Information

Practice Location

48873 Hayes Rd, Shelby Township, MI 48315-4405

(586) 247-2121

(586) 532-7480

Mailing Location

48873 Hayes Rd, Shelby Township, MI 48315-4405

(586) 247-2121

(586) 532-7480

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 4901003001 Michigan

Provider Identifiers

ID	Description	Issuer
ID 944672833	Description Medicaid	Issuer Unlisted Michigan

Charles Gerard Shermetaro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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