Individual
DR. SHANNON LYNN SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000244
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02916500
CAPITAL BLUE CROSS
PA
01
—
3117988
USHC
PA
01
—
SH828149
BLUE SHIELD
PA
Enumeration date
12/14/2006
Last updated
01/03/2008
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