Provider Demographics
NPI:1346455912
Name:SHARON C. O'ROURKE, O.D. LLC
Entity Type:Organization
Organization Name:SHARON C. O'ROURKE, O.D. LLC
Other - Org Name:O'ROURKE VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:O'ROURKE HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:412-892-9767
Mailing Address - Street 1:4745 CLAIRTON BLVD
Mailing Address - Street 2:LOWER LEVEL NORTH
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2115
Mailing Address - Country:US
Mailing Address - Phone:412-892-9767
Mailing Address - Fax:412-892-9768
Practice Address - Street 1:4745 CLAIRTON BLVD
Practice Address - Street 2:LOWER LEVEL NORTH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2115
Practice Address - Country:US
Practice Address - Phone:412-892-9767
Practice Address - Fax:412-892-9768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000085152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASH075444Medicare ID - Type Unspecified