Provider Demographics
NPI:1649974718
Name:GINGERICH, SHARON (LICENSED OPTICIAN)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:GINGERICH
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7730 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9297
Mailing Address - Country:US
Mailing Address - Phone:614-943-6508
Mailing Address - Fax:614-717-9183
Practice Address - Street 1:7730 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9297
Practice Address - Country:US
Practice Address - Phone:614-943-6508
Practice Address - Fax:614-717-9183
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH006991-S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty