Provider Demographics
NPI:1013221829
Name:MAKARI, SARAH YOUSSEF
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:YOUSSEF
Last Name:MAKARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:YOUSSEF
Other - Last Name:AWAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14607 MAIN STREET
Mailing Address - Street 2:APARTMENT A208
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012
Mailing Address - Country:US
Mailing Address - Phone:206-295-3989
Mailing Address - Fax:
Practice Address - Street 1:14607 MAIN STREET
Practice Address - Street 2:APARTMENT A208
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012
Practice Address - Country:US
Practice Address - Phone:206-295-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60164480152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist