Healthcare Provider Details

I. General information

NPI: 1164650701
Provider Name (Legal Business Name): SARAH LEE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7127 HOLLISTER AVE STE 23
GOLETA CA
93117-2857
US

IV. Provider business mailing address

7127 HOLLISTER AVE STE 23
GOLETA CA
93117-2857
US

V. Phone/Fax

Practice location:
  • Phone: 805-968-3937
  • Fax:
Mailing address:
  • Phone: 805-968-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number13537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: