Provider Demographics
NPI:1457325482
Name:HUDSON, SARAH J (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:HUDSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 DEER STREET
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3905
Mailing Address - Country:US
Mailing Address - Phone:603-430-0211
Mailing Address - Fax:603-430-0211
Practice Address - Street 1:161 DEER STREET
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3905
Practice Address - Country:US
Practice Address - Phone:603-430-0211
Practice Address - Fax:603-430-7333
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020493870OtherTAX ID
NH2110OtherHARVARD PILGRIM PROVIDER
NH0907469Y0NH01OtherBCBS PROVIDER NUMBER
NH40009434Medicaid
2636864OtherCIGNA PROVIDER
NH30356487Medicaid
NH30356487Medicaid
2636864OtherCIGNA PROVIDER
U70834Medicare UPIN