Provider Demographics
NPI:1275762940
Name:GARCIA, SAPPHIRE MARIE (CPD, CLC, ABOC)
Entity type:Individual
Prefix:MISS
First Name:SAPPHIRE
Middle Name:MARIE
Last Name:GARCIA
Suffix:
Gender:
Credentials:CPD, CLC, ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W DOUGLAS AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-3178
Mailing Address - Country:US
Mailing Address - Phone:316-258-4254
Mailing Address - Fax:
Practice Address - Street 1:220 W DOUGLAS AVE STE 15
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3178
Practice Address - Country:US
Practice Address - Phone:316-258-4254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician