Sarah Waller
Technician/Technologist, Optician in Ashtabula, OH. Individual provider (NPI-1).
NPI number1407553282
StatusActive
Last updated in NPPESFeb 13, 2023
Details
- NPI
- 1407553282
- Entity type
- Individual (NPI-1)
- Name
- Sarah Waller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2023
- Certification date
- Feb 11, 2023
- Last updated
- Feb 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | OH | Yes |
Practice location
3551 N Ridge Rd EAshtabula, OH 44004-4313
Phone 440-998-4014
Mailing address
3551 N Ridge Rd EAshtabula, OH 44004-4313
Phone 440-998-4014
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All 10 Optician providers in Ashtabula · All 1,281 providers in Ashtabula
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