Provider Demographics
NPI:1649452459
Name:GRUBER, SARI PAIGE (OD)
Entity type:Individual
Prefix:DR
First Name:SARI
Middle Name:PAIGE
Last Name:GRUBER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARI
Other - Middle Name:PAIGE
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5901A PEACHTREE DUNWOODY RD
Mailing Address - Street 2:STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5341
Mailing Address - Country:US
Mailing Address - Phone:678-781-7373
Mailing Address - Fax:678-538-1972
Practice Address - Street 1:5995 BARFIELD RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4411
Practice Address - Country:US
Practice Address - Phone:404-256-1507
Practice Address - Fax:404-256-1981
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT001729152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist