Provider Demographics
NPI:1740280098
Name:SHARP, ANDREW DEAN (OD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DEAN
Last Name:SHARP
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 VOGEL RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-7297
Mailing Address - Country:US
Mailing Address - Phone:812-477-0623
Mailing Address - Fax:812-437-9488
Practice Address - Street 1:5700 VOGEL RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7297
Practice Address - Country:US
Practice Address - Phone:812-477-0623
Practice Address - Fax:812-437-9488
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003311B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN25678OtherSPECTERA
IN200168140AMedicaid
ININ3311OtherEYEMED
IN000000345673OtherANTHEM
INV01930Medicare UPIN
IN000000345673OtherANTHEM