Healthcare Provider Details

I. General information

NPI: 1851647184
Provider Name (Legal Business Name): SAVANAH J SAYLER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAVANNAH SAYLER

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 S HARVARD AVE STE 135
TULSA OK
74135-2916
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 918-745-9662
  • Fax: 918-745-9663
Mailing address:
  • Phone: 703-847-8899
  • Fax: 571-223-6780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2748
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: