Provider Demographics
NPI:1346496445
Name:LUNSFORD, SARAH SUZANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SUZANNE
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:SUZANNE
Other - Last Name:DENMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3401 HIGHWAY 5 N
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72019-9109
Mailing Address - Country:US
Mailing Address - Phone:501-847-9797
Mailing Address - Fax:501-847-9798
Practice Address - Street 1:3401 HIGHWAY 5 N
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72019-9109
Practice Address - Country:US
Practice Address - Phone:501-847-9797
Practice Address - Fax:501-847-9798
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2613152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist