Provider Demographics
NPI:1326489220
Name:RANKIN, SARAH MORRIS (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MORRIS
Last Name:RANKIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:MARIA
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2650 N MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2090
Mailing Address - Country:US
Mailing Address - Phone:736-979-7357
Mailing Address - Fax:
Practice Address - Street 1:2650 N MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2090
Practice Address - Country:US
Practice Address - Phone:736-979-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14683152W00000X
IL046.011597152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist