Provider Demographics
NPI:1427360007
Name:ARNETTE, SARAH C (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:C
Last Name:ARNETTE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:REBENACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1701 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-3700
Mailing Address - Country:US
Mailing Address - Phone:276-466-4227
Mailing Address - Fax:276-466-3937
Practice Address - Street 1:1701 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-3700
Practice Address - Country:US
Practice Address - Phone:276-466-4227
Practice Address - Fax:276-466-3937
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC1606152W00000X
VA0618002187152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist