Provider Demographics
NPI:1831879097
Name:PAULEY, SARAH (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:PAULEY
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 1:6972 ABBS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-8787
Mailing Address - Country:US
Mailing Address - Phone:304-920-2650
Mailing Address - Fax:
Practice Address - Street 1:1109 W CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-4562
Practice Address - Country:US
Practice Address - Phone:304-327-8128
Practice Address - Fax:304-327-5912
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3030-IOD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty