Provider Demographics
NPI:1730495375
Name:SAWH, MAUREEN G (OD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:G
Last Name:SAWH
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 1:4649 CHALFONT DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5053
Mailing Address - Country:US
Mailing Address - Phone:407-580-0975
Mailing Address - Fax:
Practice Address - Street 1:4649 CHALFONT DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-5053
Practice Address - Country:US
Practice Address - Phone:407-580-0975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4548152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist