Provider Demographics
NPI:1841378288
Name:CHAMBRY, SHARON LEE (OPTICIAN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LEE
Last Name:CHAMBRY
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 GREECE RIDGE MALL
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626
Mailing Address - Country:US
Mailing Address - Phone:585-227-6771
Mailing Address - Fax:585-227-5505
Practice Address - Street 1:160 GREECE RIDGE CENTER DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2815
Practice Address - Country:US
Practice Address - Phone:585-227-6771
Practice Address - Fax:585-227-5505
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5497156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician