Provider Demographics
NPI:1730261843
Name:SAYLER, L H (OD)
Entity type:Individual
Prefix:DR
First Name:L
Middle Name:H
Last Name:SAYLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 10TH ST SE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-5553
Mailing Address - Country:US
Mailing Address - Phone:701-252-5000
Mailing Address - Fax:701-952-5005
Practice Address - Street 1:200 CENTRAL AVE N
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-2924
Practice Address - Country:US
Practice Address - Phone:701-845-5000
Practice Address - Fax:701-845-2583
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDND315152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND60270Medicaid
NDSAY22863OtherBCBS
T66937Medicare UPIN
22863Medicare PIN
NDSAY22863OtherBCBS