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NPI Code Detail

MEDICARE: DR. SHARON M SCHAFFIELD OD

MEDICARE:  DR. SHARON M SCHAFFIELD  OD
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
1152W00000XOptometrist1131DTKY
2152WL0500XLow Vision Rehabilitation Optometrist1131DTKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000002027OTHERKYANTHEM
22200827OTHERKYUNITED HEALTH CARE
34395731OTHERKYAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508867201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARON M SCHAFFIELD OD
Provider Business Mailing Address
First Line : 5522 TAYLOR MILL RD
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-4604
Country : US
Telephone Number : 859-581-7200
Fax Number : 859-581-7256
Provider Business Practice Location Address
First Line : 5522 TAYLOR MILL RD
Second Line :
City : TAYLOR MILL
State : KY
Zip : 41015-4604
Country : US
Telephone Number : 859-581-7200
Fax Number : 859-581-7256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 03/06/2008

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Directions to “ DR. SHARON M SCHAFFIELD OD” Practice Location

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