Individual
DR. SARA NICHOL CRUSSANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17 WELLS ST STE 101, WESTERLY, RI 02891-2923
(401) 348-2020
Mailing address
2 SANDY LN, WESTERLY, RI 02891-5928
(401) 255-9503
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002621
VA
152W00000X
Optometrist
3049
CT
152W00000X
Optometrist
OD 60284399
WA
152W00000X
Optometrist
Primary
ODTG00708
RI
152W00000X
Optometrist
OEG002217
PA
Other
Enumeration date
10/01/2007
Last updated
07/21/2022
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