Provider Demographics
NPI:1457382343
Name:DAY, SHARON SCHNELL (OD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:SCHNELL
Last Name:DAY
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:PO BOX 947
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-0947
Mailing Address - Country:US
Mailing Address - Phone:205-631-5681
Mailing Address - Fax:205-631-2479
Practice Address - Street 1:137 WEST SHUGART RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071
Practice Address - Country:US
Practice Address - Phone:205-631-5681
Practice Address - Fax:205-631-2479
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS657152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000058105Medicaid
410030940Medicare PIN
ALU01863Medicare UPIN
AL000058105Medicare PIN
AL0386340001Medicare NSC