Provider Demographics
NPI:1790822880
Name:SHARMA, SHALINI (OD)
Entity Type:Individual
Prefix:DR
First Name:SHALINI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SHALINI
Other - Middle Name:SHARMA
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:10 E PINELAKE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3701 MCKINLEY PKWY
Practice Address - Street 2:LENSCRAFTERS, MCKINLEY MALL
Practice Address - City:BLASDELL
Practice Address - State:NY
Practice Address - Zip Code:14219-2695
Practice Address - Country:US
Practice Address - Phone:716-826-3336
Practice Address - Fax:716-826-5640
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007890152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU80284Medicare UPIN
INU80284Medicare UPIN