Provider Demographics
NPI:1598868713
Name:SHARPS, BARBARA A (OD)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:SHARPS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:LOOPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:32 TYGART MALL LOOP
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-2187
Mailing Address - Country:US
Mailing Address - Phone:304-368-9393
Mailing Address - Fax:304-368-9008
Practice Address - Street 1:32 TYGART MALL LOOP
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-2187
Practice Address - Country:US
Practice Address - Phone:304-368-9393
Practice Address - Fax:304-368-9008
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV726-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0677143Medicare ID - Type Unspecified
T32584Medicare UPIN