Provider Demographics
NPI:1740760875
Name:MYLES, SARAH JASLYN (OD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JASLYN
Last Name:MYLES
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 1:315 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-2447
Mailing Address - Country:US
Mailing Address - Phone:814-758-2203
Mailing Address - Fax:
Practice Address - Street 1:830 MARKET ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3314
Practice Address - Country:US
Practice Address - Phone:814-724-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003469152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist