MEDICARE: DR. SARAH BAUGHMAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.006631	OH

General Provider Information

NPI Number	:	1467944710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH BAUGHMAN OD

Provider Business Mailing Address
First Line	:	3785 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4011
Country	:	US
Telephone Number	:	614-491-3435
Fax Number	:

Provider Business Practice Location Address
First Line	:	3785 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4011
Country	:	US
Telephone Number	:	614-491-3435
Fax Number	:	614-491-1699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2018
Last Update Date	:	08/28/2020

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