Healthcare Provider Details

I. General information

NPI: 1902334998
Provider Name (Legal Business Name): SARAH LOUISE VROTSOS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2017
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 W COMMERCE ST
GREENVILLE AL
36037-2216
US

IV. Provider business mailing address

175 PUTTENUM WAY
OXFORD AL
36203-9052
US

V. Phone/Fax

Practice location:
  • Phone: 334-382-3691
  • Fax: 334-382-0289
Mailing address:
  • Phone: 909-561-7775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-D74
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: