Healthcare Provider Details

I. General information

NPI: 1427360007
Provider Name (Legal Business Name): SARAH C ARNETTE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH C REBENACK O.D.

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 SUNSET DR # 302
JOHNSON CITY TN
37604-2408
US

IV. Provider business mailing address

302 SUNSET DR # 302
JOHNSON CITY TN
37604-2408
US

V. Phone/Fax

Practice location:
  • Phone: 423-282-1742
  • Fax: 423-283-4924
Mailing address:
  • Phone: 423-282-1742
  • Fax: 423-283-4924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618002187
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3206
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberSC1606
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: