MEDICARE: DR. SHARON C. O'ROURKE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG000085	PA

General Provider Information

NPI Number	:	1154372480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON C. O'ROURKE O.D.

Provider Business Mailing Address
First Line	:	4745 CLAIRTON BLVD.
Second Line	:	LOWER LEVEL NORTH
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2115
Country	:	US
Telephone Number	:	412-892-9767
Fax Number	:	412-892-9768

Provider Business Practice Location Address
First Line	:	4745 CLAIRTON BLVD.
Second Line	:	LOWER LEVEL NORTH
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2115
Country	:	US
Telephone Number	:	412-892-9767
Fax Number	:	412-892-9768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/25/2012

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