Dr. Sara L Pourheydarian, O.D.
Optometrist in Louisville, KY. Individual provider (NPI-1).
NPI number1033464458
StatusActive
Last updated in NPPESApr 20, 2015
Details
- NPI
- 1033464458
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sara L Pourheydarian
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2012
- Last updated
- Apr 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1906DT | KY | Yes |
| 152W00000X | Optometrist | 18003756A | IN |
Practice location
4000 Poplar Level RdLouisville, KY 40213-1524
Phone 502-459-2020 · Fax 502-456-9121
Mailing address
4000 Poplar Level RdLouisville, KY 40213-1524
Phone 502-459-2020 · Fax 502-456-9121
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