Provider Demographics
NPI:1497137871
Name:ERWIN, SARAH (OD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ERWIN
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 1:444 OLD TRAM RD
Mailing Address - Street 2:
Mailing Address - City:BARREN SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24313-3614
Mailing Address - Country:US
Mailing Address - Phone:276-779-9189
Mailing Address - Fax:
Practice Address - Street 1:7350 PEPPERS FERRY BLVD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:VA
Practice Address - Zip Code:24141-8999
Practice Address - Country:US
Practice Address - Phone:276-779-9189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002426152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist