Provider Demographics
NPI:1467019638
Name:SAWYER, WILL JAMES JR (OD)
Entity Type:Individual
Prefix:DR
First Name:WILL
Middle Name:JAMES
Last Name:SAWYER
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:WILL
Other - Middle Name:J
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 45923
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-5923
Mailing Address - Country:US
Mailing Address - Phone:434-385-5600
Mailing Address - Fax:
Practice Address - Street 1:125 JANAF SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2501
Practice Address - Country:US
Practice Address - Phone:757-461-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2588152W00000X
VA0618002748152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist