Provider Demographics
NPI:1346082435
Name:LITTON, SAVANAH LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:SAVANAH
Middle Name:LYNN
Last Name:LITTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 S CONGRESS AVE APT 1205
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-2454
Mailing Address - Country:US
Mailing Address - Phone:248-520-1412
Mailing Address - Fax:
Practice Address - Street 1:5581 KYLE CENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2850
Practice Address - Country:US
Practice Address - Phone:512-295-0076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11131152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist