Individual
CARL DAVID SASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11362 OLD US HIGHWAY 52, WINSTON SALEM, NC 27107-9841
(336) 764-2449
(336) 764-4156
Mailing address
11362 OLD US HIGHWAY 52, WINSTON SALEM, NC 27107-9841
(336) 764-2449
(336) 764-4156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1090
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909807
—
NC
Enumeration date
06/13/2005
Last updated
08/27/2008
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