Provider Demographics
NPI:1902951999
Name:FRANCIS, SHARON (RDO #D6917)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:RDO #D6917
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6077 COFFEE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9417
Mailing Address - Country:US
Mailing Address - Phone:661-587-9739
Mailing Address - Fax:661-587-9308
Practice Address - Street 1:6077 COFFEE RD STE 7
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9417
Practice Address - Country:US
Practice Address - Phone:661-587-9739
Practice Address - Fax:661-587-9308
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASL 47 & CL 604156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADX006917FOtherMEDICAL PROVIDER
CA5278420001Medicare NSC