Provider Demographics
NPI:1053435966
Name:SHARMA, STEVEN (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FLINTLOCK RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2556
Mailing Address - Country:US
Mailing Address - Phone:781-864-9403
Mailing Address - Fax:
Practice Address - Street 1:31 BOSTON PROVIDENCE TPKE
Practice Address - Street 2:LENSCRAFTERS BUILDING
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-2623
Practice Address - Country:US
Practice Address - Phone:781-769-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA3652152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist