Healthcare Provider Details

I. General information

NPI: 1659932259
Provider Name (Legal Business Name): SONYA VACHHANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 BEE RIDGE RD SUITE A-A
SARASOTA FL
34233
US

IV. Provider business mailing address

3920 BEE RIDGE RD SUITE A-A
SARASOTA FL
34233
US

V. Phone/Fax

Practice location:
  • Phone: 941-923-3411
  • Fax: 941-921-3832
Mailing address:
  • Phone: 941-923-3411
  • Fax: 941-921-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC5693
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: