Healthcare Provider Details

I. General information

NPI: 1508017922
Provider Name (Legal Business Name): SARAH L FRASSATO O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2008
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 AVENIDA DEL NORTE # 1
REDONDO BEACH CA
90277-5702
US

IV. Provider business mailing address

249 AVENIDA DEL NORTE # 1
REDONDO BEACH CA
90277-5702
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-6225
  • Fax: 310-540-2218
Mailing address:
  • Phone: 310-540-6225
  • Fax: 310-540-2218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number15122
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046010062
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: