Individual
DR. SARA NISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3S100 ROUTE 53, GLEN ELLYN, IL 60137
(630) 545-1090
Mailing address
2105 W SILVERLEAF CT, ADDISON, IL 60101-6403
(630) 901-8055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011232
IL
390200000X
Student in an Organized Health Care Education/Training Program
046.011232
IL
Other
Enumeration date
08/27/2018
Last updated
04/23/2026
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