Provider Demographics
NPI:1992813331
Name:SASSE, KARLA (LDO)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:
Last Name:SASSE
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:MS
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LDO
Mailing Address - Street 1:714 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3002
Mailing Address - Country:US
Mailing Address - Phone:419-423-2651
Mailing Address - Fax:
Practice Address - Street 1:714 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3002
Practice Address - Country:US
Practice Address - Phone:419-423-2651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3474-SC156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
0371970001Medicare NSC