Provider Demographics
NPI:1124247317
Name:SARAH JOSEPH JOHN
Entity type:Organization
Organization Name:SARAH JOSEPH JOHN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-681-1715
Mailing Address - Street 1:3000 TOWN EAST MALL
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4120
Mailing Address - Country:US
Mailing Address - Phone:972-681-1715
Mailing Address - Fax:972-681-2066
Practice Address - Street 1:3000 TOWN EAST MALL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4120
Practice Address - Country:US
Practice Address - Phone:972-681-1715
Practice Address - Fax:972-681-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42822T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty