Individual
SARA NICOLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 COSHOCTON AVE, MOUNT VERNON, OH 43050-2628
(740) 392-4000
Mailing address
110 COSHOCTON AVE, MOUNT VERNON, OH 43050-2628
(740) 392-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH6470
OH
390200000X
Student in an Organized Health Care Education/Training Program
OPT.6470-T3387
OH
Other
Enumeration date
06/09/2016
Last updated
03/17/2018
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