Individual
DR. SARA L POURHEYDARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-9121
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003756A
IN
152W00000X
Optometrist
Primary
1906DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1906DT
KY LICENSE
KY
05
—
7100227860
—
KY
Enumeration date
07/23/2012
Last updated
04/20/2015
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