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NPI Code Detail

MEDICARE: DR. SARAH MARIE ALQUIST OD

MEDICARE: DR. SARAH MARIE ALQUIST OD
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
1152W00000XOptometristOPT.006849OH

General Provider Information

NPI Number : 1275155129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH MARIE ALQUIST OD
Provider Business Mailing Address
First Line : 276 WOODSFIELD CT
Second Line :
City : POWELL
State : OH
Zip : 43065-8906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1261 W ROYALTON RD
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2407
Country : US
Telephone Number : 440-526-7070
Fax Number : 888-853-0338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2020
Last Update Date : 05/18/2023

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