Provider Demographics
NPI:1780931840
Name:THOMPSON, SARA E (OD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:45 S ROUTE 9W UNIT 41 #114
Mailing Address - Street 2:
Mailing Address - City:WEST HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10993-1053
Mailing Address - Country:US
Mailing Address - Phone:646-921-1738
Mailing Address - Fax:315-612-9793
Practice Address - Street 1:260 CHRISTOPHER LN STE 102A
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-1631
Practice Address - Country:US
Practice Address - Phone:646-921-1738
Practice Address - Fax:315-612-9793
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4688152W00000X
NYTUV009411152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist