Provider Demographics
NPI:1023662012
Name:KAMIBAYASHI, SHARNELLE NAOMI (OD)
Entity type:Individual
Prefix:
First Name:SHARNELLE
Middle Name:NAOMI
Last Name:KAMIBAYASHI
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 S GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4635
Mailing Address - Country:US
Mailing Address - Phone:808-383-9158
Mailing Address - Fax:
Practice Address - Street 1:1033 S GAYLORD ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4635
Practice Address - Country:US
Practice Address - Phone:303-282-5427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-28
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003171152W00000X
COOPT.0003571152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty