Provider Demographics
NPI:1114977436
Name:THOMPSON, SARAH E (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6160 S SYRACUSE WAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4772
Mailing Address - Country:US
Mailing Address - Phone:303-991-9624
Mailing Address - Fax:303-991-9643
Practice Address - Street 1:1550 S POTOMAC ST
Practice Address - Street 2:SUITE 155
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5455
Practice Address - Country:US
Practice Address - Phone:303-369-1020
Practice Address - Fax:303-369-1022
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2487152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1302479OtherDEA
V07420Medicare UPIN
8040709Medicare ID - Type Unspecified