Healthcare Provider Details

I. General information

NPI: 1932693793
Provider Name (Legal Business Name): SARAH LINDSEY FRANKLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 06/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10264 SOUTHERN MARYLAND BLVD STE 101
DUNKIRK MD
20754-3037
US

IV. Provider business mailing address

1950 OLD GALLOWS RD STE 520
VIENNA VA
22182-3970
US

V. Phone/Fax

Practice location:
  • Phone: 443-964-8705
  • Fax: 443-964-8707
Mailing address:
  • Phone: 703-847-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA2631
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: