Provider Demographics
NPI:1437716289
Name:LAMBERT, SAWYER (OD)
Entity Type:Individual
Prefix:MR
First Name:SAWYER
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 W. JONQUIL AVE.
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:361-813-8915
Mailing Address - Fax:956-286-6842
Practice Address - Street 1:3804 SO. JACKSON ROAD, SUITE #4
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-296-3060
Practice Address - Fax:956-296-3061
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9742152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3996209-01Medicaid
TXH08LF28501OtherBCBS-TX