Provider Demographics
NPI:1982676300
Name:BUTTERWORTH, SARA L (OD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:L
Last Name:BUTTERWORTH
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:2345 MULBERRY ST
Mailing Address - Street 2:UNIT 5
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-3385
Mailing Address - Country:US
Mailing Address - Phone:319-358-9770
Mailing Address - Fax:319-354-4751
Practice Address - Street 1:2345 MULBERRY ST
Practice Address - Street 2:UNIT 5
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-3385
Practice Address - Country:US
Practice Address - Phone:319-358-9770
Practice Address - Fax:319-354-4751
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA02174152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist