Provider Demographics
NPI:1073066106
Name:HAGHANI, SARA (O D)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:HAGHANI
Suffix:
Gender:F
Credentials:O D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 W SAHARA AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8930
Mailing Address - Country:US
Mailing Address - Phone:702-944-2001
Mailing Address - Fax:
Practice Address - Street 1:8230 W SAHARA AVE STE 121
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8930
Practice Address - Country:US
Practice Address - Phone:702-944-2001
Practice Address - Fax:702-947-0474
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33471152W00000X
NV963152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist