Provider Demographics
NPI:1124209671
Name:ESMAIL, SHIRIN (OD)
Entity Type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:
Last Name:ESMAIL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 BOSTON DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8232
Mailing Address - Country:US
Mailing Address - Phone:336-586-1960
Mailing Address - Fax:
Practice Address - Street 1:140 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-2536
Practice Address - Country:US
Practice Address - Phone:919-968-3937
Practice Address - Fax:919-932-3290
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1950152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist