Provider Demographics
NPI:1013381342
Name:SAWYER VISION HOLDINGS LLC
Entity Type:Organization
Organization Name:SAWYER VISION HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:513-633-0060
Mailing Address - Street 1:1131 LAURELWOOD LN
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-9064
Mailing Address - Country:US
Mailing Address - Phone:513-633-0060
Mailing Address - Fax:
Practice Address - Street 1:1131 LAURELWOOD LN
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KY
Practice Address - Zip Code:41051-9064
Practice Address - Country:US
Practice Address - Phone:513-633-0060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1632DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty