Provider Demographics
NPI:1841394434
Name:WERDEN, SARA ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ANN
Last Name:WERDEN
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 1:920 STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-9638
Mailing Address - Country:US
Mailing Address - Phone:513-899-3319
Mailing Address - Fax:
Practice Address - Street 1:2322 FERGUSON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3503
Practice Address - Country:US
Practice Address - Phone:513-933-3278
Practice Address - Fax:513-922-3473
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3578152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management