Provider Demographics
NPI:1275401044
Name:JAYAPRAKASH, SAI PRASANTHI (OD)
Entity type:Individual
Prefix:
First Name:SAI
Middle Name:PRASANTHI
Last Name:JAYAPRAKASH
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 1:350 E HENRIETTA RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4643
Mailing Address - Country:US
Mailing Address - Phone:585-471-6918
Mailing Address - Fax:
Practice Address - Street 1:350 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4643
Practice Address - Country:US
Practice Address - Phone:585-471-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011327152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist