Healthcare Provider Details

I. General information

NPI: 1639432842
Provider Name (Legal Business Name): SAR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 06/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 WISCONSIN AVE NW 1330 WISCONSIN AVE NW
WASHINGTON DC
20007-3310
US

IV. Provider business mailing address

1330 WISCONSIN AVE NW 1330 WISCONSIN AVE NW
WASHINGTON DC
20007-3310
US

V. Phone/Fax

Practice location:
  • Phone: 202-337-8969
  • Fax: 202-625-2825
Mailing address:
  • Phone: 202-337-8969
  • Fax: 202-625-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1201X
TaxonomyOptometric Assistant Technician
License Number
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateDC

VIII. Authorized Official

Name: MR. ASAD RAMEDANI
Title or Position: OWNER
Credential:
Phone: 202-494-5900