Provider Demographics
NPI:1295129773
Name:HARRILL, SHARHONDA BELL
Entity type:Individual
Prefix:DR
First Name:SHARHONDA
Middle Name:BELL
Last Name:HARRILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARHONDA
Other - Middle Name:ANTOINETTE
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 NORTH WIND DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-2782
Mailing Address - Country:US
Mailing Address - Phone:704-575-1033
Mailing Address - Fax:336-232-9708
Practice Address - Street 1:611 COLISEUM DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5310
Practice Address - Country:US
Practice Address - Phone:704-575-1033
Practice Address - Fax:336-232-9708
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2412152W00000X, 152WX0102X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1295129773Medicaid