Provider Demographics
NPI:1548662323
Name:TYSON, SARAH T (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:T
Last Name:TYSON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2807 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-1903
Mailing Address - Country:US
Mailing Address - Phone:252-823-8295
Mailing Address - Fax:252-823-8552
Practice Address - Street 1:2807 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-1903
Practice Address - Country:US
Practice Address - Phone:252-823-8295
Practice Address - Fax:252-823-8552
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2396152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist