Organization
SUSAN ELIZABETH SAWYER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E. SAWYER O.D. (OWNER/OPTOMETRIST)
(909) 421-1022
Entity
Organization
Contact information
Practice address
1613 S RIVERSIDE AVE, SUITE B, RIALTO, CA 92376-7701
(909) 421-1022
(909) 421-3932
Mailing address
1613 S RIVERSIDE AVE, SUITE B, RIALTO, CA 92376-7701
(909) 421-1022
(909) 421-3932
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12002T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0120020
—
CA
Enumeration date
09/08/2008
Last updated
09/30/2008
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