Provider Demographics
NPI:1508097627
Name:FRUGE', SARAH MOSER (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MOSER
Last Name:FRUGE'
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:MICHEL
Other - Last Name:MOSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:301 S SECOND ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-4611
Mailing Address - Country:US
Mailing Address - Phone:337-457-2376
Mailing Address - Fax:337-457-3780
Practice Address - Street 1:301 S SECOND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-4611
Practice Address - Country:US
Practice Address - Phone:337-457-2376
Practice Address - Fax:337-457-3780
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1577-610T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist