Provider Demographics
NPI:1386069599
Name:BARBER, SHARON LUONG (OD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LUONG
Last Name:BARBER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2325 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2529
Mailing Address - Country:US
Mailing Address - Phone:252-451-5324
Mailing Address - Fax:252-451-5330
Practice Address - Street 1:14 CONSULTANT PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6320
Practice Address - Country:US
Practice Address - Phone:919-493-3668
Practice Address - Fax:919-490-5594
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2404152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0999FOtherBCBSNC
NC0999FOtherBCBSNC