Provider Demographics
NPI:1922168301
Name:FREEMAN, SHARON R (OD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:FREEMAN
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 1:312 CORTE MADERA TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:CORTE MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:94925-1207
Mailing Address - Country:US
Mailing Address - Phone:415-924-2772
Mailing Address - Fax:415-924-1706
Practice Address - Street 1:312 CORTE MADERA TOWN CTR
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1207
Practice Address - Country:US
Practice Address - Phone:415-924-2772
Practice Address - Fax:415-924-1706
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9837152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist