Provider Demographics
NPI:1831508308
Name:CLEGHERN, SARAH CLARK (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:CLARK
Last Name:CLEGHERN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ELISE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:74 PLAZA DR STE 203
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-9370
Mailing Address - Country:US
Mailing Address - Phone:205-814-6108
Mailing Address - Fax:205-949-1400
Practice Address - Street 1:74 PLAZA DR STE 203
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-9370
Practice Address - Country:US
Practice Address - Phone:205-949-2020
Practice Address - Fax:205-949-1400
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D23-TA-991152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist