Provider Demographics
NPI:1588841811
Name:THAN, SHARON (OD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:THAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12344 BARKER CYPRESS RD
Mailing Address - Street 2:STE. 170
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8359
Mailing Address - Country:US
Mailing Address - Phone:281-373-1163
Mailing Address - Fax:281-373-1164
Practice Address - Street 1:12344 BARKER CYPRESS RD
Practice Address - Street 2:STE. 170
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8359
Practice Address - Country:US
Practice Address - Phone:281-373-1163
Practice Address - Fax:281-373-1164
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6262T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist