Provider Demographics
NPI:1831214220
Name:ROBERT H. SHARP, O.D., PC
Entity type:Organization
Organization Name:ROBERT H. SHARP, O.D., PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:THOMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:641-623-9433
Mailing Address - Street 1:715 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:IA
Mailing Address - Zip Code:50841-1418
Mailing Address - Country:US
Mailing Address - Phone:641-322-3147
Mailing Address - Fax:641-322-3853
Practice Address - Street 1:715 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841-1418
Practice Address - Country:US
Practice Address - Phone:641-322-3147
Practice Address - Fax:641-322-3853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Not Answered332H00000XSuppliersEyewear Supplier