Provider Demographics
NPI:1427619022
Name:DUNPHY, SARAH ANNE (CPO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:DUNPHY
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3744 ORONO DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-5433
Mailing Address - Country:US
Mailing Address - Phone:419-205-0702
Mailing Address - Fax:
Practice Address - Street 1:6650 SUMMERLYN LAKES DR
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-0047
Practice Address - Country:US
Practice Address - Phone:734-854-3937
Practice Address - Fax:734-854-3937
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic