| NPI | 1396058194 |
|---|---|
| Former Name | SARAH C TIPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010404) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1755) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2014-10-22 |