Provider Demographics
NPI:1912338260
Name:DR KARUNA SHARMA OD PLLC
Entity type:Organization
Organization Name:DR KARUNA SHARMA OD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:KARUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:425-412-0358
Mailing Address - Street 1:18411 ALDERWOOD MALL PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8010
Mailing Address - Country:US
Mailing Address - Phone:425-771-8472
Mailing Address - Fax:
Practice Address - Street 1:18411 ALDERWOOD MALL PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8010
Practice Address - Country:US
Practice Address - Phone:425-771-8472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60150861152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty