Provider Demographics
NPI:1861732422
Name:NOFTZGER, SARAH JANE (ABOC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:NOFTZGER
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:VANHOECKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ABOC
Mailing Address - Street 1:1419 GALWAY CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068-3394
Mailing Address - Country:US
Mailing Address - Phone:816-522-1918
Mailing Address - Fax:
Practice Address - Street 1:7400 STATE LINE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3444
Practice Address - Country:US
Practice Address - Phone:913-588-6624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician