Healthcare Provider Details

I. General information

NPI: 1336105162
Provider Name (Legal Business Name): SHARLENE GEE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 03/05/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE
CAMP PENDLETON CA
92055-5159
US

IV. Provider business mailing address

3800 BARRANCA PKWY STE D
IRVINE CA
92606-1200
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-3567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11023T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: