MEDICARE: REENAL SHARMA 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	OPC4655	FL

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

General Provider Information

NPI Number	:	1750663357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REENAL SHARMA O.D.

Provider Business Mailing Address
First Line	:	6538 CARTMEL LN
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5423
Country	:	US
Telephone Number	:	407-421-9850
Fax Number	:

Provider Business Practice Location Address
First Line	:	6538 CARTMEL LN
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5423
Country	:	US
Telephone Number	:	407-421-9850
Fax Number	:

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

Provider Enumeration Date	:	09/09/2011
Last Update Date	:	05/03/2016

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