Provider Demographics
NPI:1770932519
Name:SADLER, ANNA (OD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SADLER
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 1:6232 ASH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66205-3005
Mailing Address - Country:US
Mailing Address - Phone:913-961-0076
Mailing Address - Fax:
Practice Address - Street 1:6100 BROADMOOR ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3229
Practice Address - Country:US
Practice Address - Phone:913-363-2927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-11
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3413-35152W00000X
KS2114152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist