MEDICARE: SHARON C. O'ROURKE, O.D. LLC

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	:	1346455912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON C. O'ROURKE, O.D. LLC

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	:	OWNER
Name	:	DR. SHARON C O'ROURKE HUBER
Credential	:	OD
Telephone Number	:	412-892-9767

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/19/2013

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