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1144893934 NPI number — SARAH WILTING OD

NPI Number: 1144893934
Health Care Provider/Practitioner: SARAH WILTING OD

Information about “1144893934” NPI (SARAH WILTING OD) exists in 1144893934 in HTML format HTML  |  1144893934 in plain Text format TXT  |  1144893934 in PDF (Portable Document Format) PDF  |  1144893934 in an XML format XML  formats.

NPI Number : 1144893934 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144893934",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILTING",
    "FirstName": "SARAH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 631144",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGHLANDS RANCH",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80163-1144",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "355 S WADSWORTH BLVD UNIT D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80226-3136",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-962-6906",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2021",
    "LastUpdateDate": "11/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/14/2023",
    "NPIReactivationDate": "03/18/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "OPT0003727",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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