Provider Demographics
NPI:1184222416
Name:SHARICK, CAITLYN (OD)
Entity Type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:
Last Name:SHARICK
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 1:407 LOOKOUT CT
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2462
Mailing Address - Country:US
Mailing Address - Phone:440-522-7291
Mailing Address - Fax:
Practice Address - Street 1:35825 DETROIT RD STE 107
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-3001
Practice Address - Country:US
Practice Address - Phone:440-937-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.006925152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist