MEDICARE: DR. SARAH H WANG 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	OPT002321	GA
2	152W00000X	Optometrist	OEG003698	PA

General Provider Information

NPI Number	:	1083832638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH H WANG O.D.

Provider Business Mailing Address
First Line	:	4905 34TH ST S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33711-4511
Country	:	US
Telephone Number	:	850-347-2899
Fax Number	:

Provider Business Practice Location Address
First Line	:	5582 PEACHTREE RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-2383
Country	:	US
Telephone Number	:	404-636-5549
Fax Number	:

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	02/06/2026

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