MEDICARE: DR. SARAH A SLIWINSKI O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	002523	IA

General Provider Information

NPI Number	:	1013204924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH A SLIWINSKI O.D.

Provider Business Mailing Address
First Line	:	3031 FLINT HILLS DR
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-1754
Country	:	US
Telephone Number	:	319-572-1494
Fax Number	:

Provider Business Practice Location Address
First Line	:	3031 FLINT HILLS DR
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-1754
Country	:	US
Telephone Number	:	319-754-5518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	11/02/2016

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