Provider Demographics
NPI:1891347910
Name:SARAH REGAL, OD, LLC
Entity type:Organization
Organization Name:SARAH REGAL, OD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:REGAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:903-503-3187
Mailing Address - Street 1:9826 GALLAGHER RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:FL
Mailing Address - Zip Code:33527-3610
Mailing Address - Country:US
Mailing Address - Phone:903-503-3187
Mailing Address - Fax:
Practice Address - Street 1:3802A BRITTON PLZ
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-1406
Practice Address - Country:US
Practice Address - Phone:813-837-0077
Practice Address - Fax:813-839-8509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty