Provider Demographics
NPI:1306459482
Name:SABU, BLESSY (OD)
Entity type:Individual
Prefix:
First Name:BLESSY
Middle Name:
Last Name:SABU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BLESSY
Other - Middle Name:S
Other - Last Name:BAIJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1045 W PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4706
Practice Address - Country:US
Practice Address - Phone:972-641-5606
Practice Address - Fax:972-660-0642
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11528152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist