Provider Demographics
NPI:1790948800
Name:LOVELAND, SHARON (OD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:LOVELAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 MEADOWLANDS DR
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-8366
Mailing Address - Country:US
Mailing Address - Phone:440-286-1518
Mailing Address - Fax:440-286-1348
Practice Address - Street 1:223 MEADOWLANDS DR
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-8366
Practice Address - Country:US
Practice Address - Phone:440-286-1518
Practice Address - Fax:440-286-1348
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3298/ T787152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1538178405OtherORGANIZATION NPI FOR SHARON LOVELAND O.D., INC.
OHU76596Medicare UPIN
OH1538178405OtherORGANIZATION NPI FOR SHARON LOVELAND O.D., INC.