Provider Demographics
NPI:1326323619
Name:SHARMA, ANGRISHA (OD)
Entity Type:Individual
Prefix:
First Name:ANGRISHA
Middle Name:
Last Name:SHARMA
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 1:460 WHARTON CIR
Mailing Address - Street 2:APART 304
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6614
Mailing Address - Country:US
Mailing Address - Phone:267-515-8636
Mailing Address - Fax:
Practice Address - Street 1:800 FOXCROFT AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-1829
Practice Address - Country:US
Practice Address - Phone:304-267-0480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1091-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist