Healthcare Provider Details

I. General information

NPI: 1346496445
Provider Name (Legal Business Name): SARAH SUZANNE LUNSFORD O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH SUZANNE DENMAN O.D.

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24005 ARCH STREET PIKE STE 18
HENSLEY AR
72065-5010
US

IV. Provider business mailing address

24005 ARCH STREET PIKE STE 18
HENSLEY AR
72065-5010
US

V. Phone/Fax

Practice location:
  • Phone: 501-588-2650
  • Fax: 501-588-2670
Mailing address:
  • Phone: 501-588-2650
  • Fax: 501-588-2670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2613
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: