Provider Demographics
NPI:1609552710
Name:MOMIN, SARA ALLAUDDIN (OD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ALLAUDDIN
Last Name:MOMIN
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 1:13106 BARN COURSE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3276
Mailing Address - Country:US
Mailing Address - Phone:832-228-0544
Mailing Address - Fax:
Practice Address - Street 1:3609 BUSINESS CENTER DR STE 112
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4168
Practice Address - Country:US
Practice Address - Phone:281-249-1142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10849T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist