Provider Demographics
NPI:1033733837
Name:TERLESKY, SARAH KAY (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KAY
Last Name:TERLESKY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 BENTIVAR DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8229
Mailing Address - Country:US
Mailing Address - Phone:434-962-4374
Mailing Address - Fax:
Practice Address - Street 1:8551 FENTON ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4404
Practice Address - Country:US
Practice Address - Phone:301-585-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002887152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist