Provider Demographics
NPI:1154437473
Name:HUNT-MORIARTY, SHARON FLORENCE (OD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:FLORENCE
Last Name:HUNT-MORIARTY
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 1:65 WOLF RD STE 106
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2621
Mailing Address - Country:US
Mailing Address - Phone:518-463-1707
Mailing Address - Fax:518-949-2499
Practice Address - Street 1:65 WOLF RD STE 106
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2621
Practice Address - Country:US
Practice Address - Phone:518-463-1707
Practice Address - Fax:518-949-2499
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT005879152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10025884OtherCDPHP
NY59228OtherMVP
NY59228OtherMVP
CC7353Medicare ID - Type Unspecified