Provider Demographics
NPI:1952396749
Name:HOCK, SHARON MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MARIE
Last Name:HOCK
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 1:300 WALMART DR
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-4212
Mailing Address - Country:US
Mailing Address - Phone:814-674-5914
Mailing Address - Fax:
Practice Address - Street 1:300 WALMART DR
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4212
Practice Address - Country:US
Practice Address - Phone:814-674-5914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001771152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA139423OtherANTHEM BC/BS
VA542040126OtherMAMSI
VA902137OtherBLOCK
VA5886943OtherCIGNA PPO
VA7310564OtherAETNA PPO
VA3587408OtherAETNA HMO
VA010083346Medicaid
VA668301OtherDAVIS VISION
VA8286906OtherCIGNA HMO
VA32750OtherAVESIS
VA139423OtherANTHEM BC/BS
VA3587408OtherAETNA HMO