Provider Demographics
NPI:1891747416
Name:SARLITT, RICHARD ALAN (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:SARLITT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5327 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2938
Mailing Address - Country:US
Mailing Address - Phone:949-786-7888
Mailing Address - Fax:949-786-1817
Practice Address - Street 1:5327 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2938
Practice Address - Country:US
Practice Address - Phone:949-786-7888
Practice Address - Fax:949-786-1817
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5764152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAUO9561Medicare UPIN