Provider Demographics
NPI:1851186647
Name:LARSON, SHARON (OCULARIST)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:LARSON
Suffix:
Gender:
Credentials:OCULARIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MANSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-4272
Mailing Address - Country:US
Mailing Address - Phone:607-752-3716
Mailing Address - Fax:
Practice Address - Street 1:18 MANSFIELD DR
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-4272
Practice Address - Country:US
Practice Address - Phone:607-341-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist