Provider Demographics
NPI:1073550463
Name:ULANGCA, RAE ANN SARNO (OD)
Entity type:Individual
Prefix:DR
First Name:RAE ANN
Middle Name:SARNO
Last Name:ULANGCA
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:9512 CRESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-4708
Mailing Address - Country:US
Mailing Address - Phone:260-485-1631
Mailing Address - Fax:260-485-1632
Practice Address - Street 1:6049 STELLHORN RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-5357
Practice Address - Country:US
Practice Address - Phone:260-485-1631
Practice Address - Fax:260-485-1632
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN18003317A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist