Provider Demographics
NPI:1669027603
Name:JONES, SHARNA MICHELLE (LICENSED OPTICIAN)
Entity Type:Individual
Prefix:
First Name:SHARNA
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:SHARNA
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICENSED OPTICIAN
Mailing Address - Street 1:526 QUEENS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HUBERT
Mailing Address - State:NC
Mailing Address - Zip Code:28539-4188
Mailing Address - Country:US
Mailing Address - Phone:919-710-1449
Mailing Address - Fax:
Practice Address - Street 1:1450 W CORBETT AVE STE 3
Practice Address - Street 2:
Practice Address - City:SWANSBORO
Practice Address - State:NC
Practice Address - Zip Code:28584-9036
Practice Address - Country:US
Practice Address - Phone:910-325-8388
Practice Address - Fax:910-325-8396
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1995156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician