Healthcare Provider Details

I. General information

NPI: 1902951999
Provider Name (Legal Business Name): SHARON FRANCIS RDO #D6917
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6077 COFFEE RD STE 7
BAKERSFIELD CA
93308-9417
US

IV. Provider business mailing address

6077 COFFEE RD STE 7
BAKERSFIELD CA
93308-9417
US

V. Phone/Fax

Practice location:
  • Phone: 661-587-9739
  • Fax: 661-587-9308
Mailing address:
  • Phone: 661-587-9739
  • Fax: 661-587-9308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberSL 47 & CL 604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: