Provider Demographics
NPI:1124098561
Name:SCHARFF, DORIT MAYDAN (OD)
Entity type:Individual
Prefix:DR
First Name:DORIT
Middle Name:MAYDAN
Last Name:SCHARFF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4562
Mailing Address - Country:US
Mailing Address - Phone:408-244-4335
Mailing Address - Fax:
Practice Address - Street 1:1190 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4562
Practice Address - Country:US
Practice Address - Phone:408-244-4335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9046T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0090460Medicare ID - Type Unspecified
CA0672580001Medicare NSC
0672580001Medicare NSC