Provider Demographics
NPI:1154357309
Name:ORNSTEIN, SARA BETH (OD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:BETH
Last Name:ORNSTEIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:BETH
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:15033 W BELL RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3217
Mailing Address - Country:US
Mailing Address - Phone:623-533-4697
Mailing Address - Fax:623-533-4907
Practice Address - Street 1:15033 W BELL RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3217
Practice Address - Country:US
Practice Address - Phone:623-533-4697
Practice Address - Fax:623-533-4907
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1441152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist