Provider Demographics
NPI:1841204260
Name:STORRS, SARAH KEY (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KEY
Last Name:STORRS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:KEY STORRS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-0688
Mailing Address - Country:US
Mailing Address - Phone:509-925-9873
Mailing Address - Fax:509-962-1639
Practice Address - Street 1:301 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3315
Practice Address - Country:US
Practice Address - Phone:509-925-9873
Practice Address - Fax:509-962-1639
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00003913152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2029486Medicaid
V01248Medicare UPIN
8807019Medicare ID - Type Unspecified