Provider Demographics
NPI:1063675528
Name:ROVENSTINE, SHARON M (OD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:M
Last Name:ROVENSTINE
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:4050 HEALTHWAY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8183
Mailing Address - Country:US
Mailing Address - Phone:630-820-1303
Mailing Address - Fax:630-820-1398
Practice Address - Street 1:2555 W 75TH ST STE 119
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9446
Practice Address - Country:US
Practice Address - Phone:630-225-7020
Practice Address - Fax:630-995-9772
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2018-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL046.010067152WC0802X, 152WP0200X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics