Healthcare Provider Details

I. General information

NPI: 1386069599
Provider Name (Legal Business Name): SHARON LUONG BARBER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 02/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CONSULTANT PL
DURHAM NC
27707-6320
US

IV. Provider business mailing address

2325 SUNSET AVE
ROCKY MOUNT NC
27804-2529
US

V. Phone/Fax

Practice location:
  • Phone: 919-493-3668
  • Fax: 919-490-5594
Mailing address:
  • Phone: 252-451-5324
  • Fax: 252-451-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2404
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: