Healthcare Provider Details
I. General information
NPI: 1285759746
Provider Name (Legal Business Name): ROBERT H. SHARP, O.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
807 N SUMNER AVE
CRESTON IA
50801-1350
US
IV. Provider business mailing address
PO BOX 323
CRESTON IA
50801-0323
US
V. Phone/Fax
- Phone: 641-782-2111
- Fax: 641-782-2113
- Phone: 641-782-2111
- Fax: 641-782-2113
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332H00000X |
| Taxonomy | Eyewear Supplier |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
LINDA
S
THOMSEN
Title or Position: GENERAL PARTNER
Credential: O.D.
Phone: 641-782-2111