Provider Demographics
NPI:1235143967
Name:ALVAREZ, SARAH LYNN (OD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:ALVAREZ
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 1:2198 COLUMBIANA RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2567
Mailing Address - Country:US
Mailing Address - Phone:205-877-2837
Mailing Address - Fax:205-877-1777
Practice Address - Street 1:2198 COLUMBIANA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2567
Practice Address - Country:US
Practice Address - Phone:205-877-2837
Practice Address - Fax:205-877-1777
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2015-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALR106TA384152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2210017OtherUHC
AL51058331OtherBCBS
T68307Medicare UPIN
2210017OtherUHC