Provider Demographics
NPI:1306845086
Name:SARNO, EUGENE MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:MICHAEL
Last Name:SARNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 WESTOWN PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:W DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8218
Mailing Address - Country:US
Mailing Address - Phone:515-225-3546
Mailing Address - Fax:515-224-5946
Practice Address - Street 1:5901 WESTOWN PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:W DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8218
Practice Address - Country:US
Practice Address - Phone:515-225-3546
Practice Address - Fax:515-224-5946
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20633207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA180032591OtherMEDICARE RAILROAD
IA44436OtherBLUE CROSS BLUE SHIELD
IA1015594Medicaid
IA44436OtherBLUE CROSS BLUE SHIELD
IA44436Medicare ID - Type UnspecifiedMEDICARE