Provider Demographics
NPI:1841503919
Name:KREIN, SARAH GALLAGHER (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:GALLAGHER
Last Name:KREIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:103 DIECKS DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2444
Mailing Address - Country:US
Mailing Address - Phone:270-769-1397
Mailing Address - Fax:270-765-4899
Practice Address - Street 1:103 DIECKS DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2444
Practice Address - Country:US
Practice Address - Phone:270-769-1397
Practice Address - Fax:270-765-4899
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2652152W00000X
KY1881DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12147783OtherCAQH
OK41039OtherOBNDD
OKOKA101926OtherMEDICARE
OK200302110AMedicaid
OKMG2207567OtherDEA
OKMG2207567OtherDEA