Provider Demographics
NPI:1861165870
Name:CARR, PAIGE ROBIN SHERMIS (OD)
Entity type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:ROBIN SHERMIS
Last Name:CARR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:ROBIN
Other - Last Name:SHERMIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 208177
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-8177
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:2623 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2468
Practice Address - Country:US
Practice Address - Phone:734-930-2373
Practice Address - Fax:734-930-2390
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.006993152W00000X
MI4901005579152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist