MEDICARE: SHARON S ADHAMI 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	OD-T2580	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11542472	OTHER	TN	CAQH ID
3	4238385	OTHER	TN	BLUE CROSS BLUE SHIELD
4	4329289	OTHER	TN	CIGNA
5	TN9270	OTHER	TN	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1225035983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON S ADHAMI O.D.

Provider Business Mailing Address
First Line	:	PO BOX 1471
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-1471
Country	:	US
Telephone Number	:	615-554-2842
Fax Number	:

Provider Business Practice Location Address
First Line	:	5020 SPEDALE CT
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6105
Country	:	US
Telephone Number	:	615-302-3211
Fax Number	:	615-302-3278

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/20/2010

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