Provider Demographics
NPI:1891323101
Name:SHARPVUE EYECARE PLLC
Entity Type:Organization
Organization Name:SHARPVUE EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:FAROUQ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-277-6755
Mailing Address - Street 1:15243 FOREST RD STE E
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4974
Mailing Address - Country:US
Mailing Address - Phone:434-525-2830
Mailing Address - Fax:
Practice Address - Street 1:15243 FOREST RD STE E
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4974
Practice Address - Country:US
Practice Address - Phone:434-525-2830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty