Provider Demographics
NPI:1225134554
Name:DR.SANDRA T.WEST, LLC
Entity Type:Organization
Organization Name:DR.SANDRA T.WEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-782-8799
Mailing Address - Street 1:1714 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1076
Mailing Address - Country:US
Mailing Address - Phone:215-782-8799
Mailing Address - Fax:215-782-8799
Practice Address - Street 1:2501 ROUTE 130 S
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3075
Practice Address - Country:US
Practice Address - Phone:856-303-2134
Practice Address - Fax:856-303-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty