Provider Demographics
NPI:1154372480
Name:O'ROURKE, SHARON C (OD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:C
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4745 CLAIRTON BLVD.
Mailing Address - Street 2:LOWER LEVEL NORTH
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2115
Mailing Address - Country:US
Mailing Address - Phone:412-892-9767
Mailing Address - Fax:412-892-9768
Practice Address - Street 1:4745 CLAIRTON BLVD.
Practice Address - Street 2:LOWER LEVEL NORTH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2115
Practice Address - Country:US
Practice Address - Phone:412-892-9767
Practice Address - Fax:412-892-9768
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000085152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU92364Medicare UPIN
PA063633SBEMedicare PIN