Provider Demographics
NPI:1386874048
Name:LEWIS, SARAH (OD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LEWIS
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 1:1220 SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2572
Mailing Address - Country:US
Mailing Address - Phone:303-665-7797
Mailing Address - Fax:303-673-9578
Practice Address - Street 1:1220 SUMMIT VIEW DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2572
Practice Address - Country:US
Practice Address - Phone:303-665-7797
Practice Address - Fax:303-673-9578
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2734152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist