Individual
DR. SARAH EMMETT BORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615
NM
152W00000X
Optometrist
OD60232648
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29204860
—
NM
01
—
NM303413
MEDICARE NM
NM
Enumeration date
05/26/2009
Last updated
10/18/2023
Update your record
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