Provider Demographics
NPI:1881756807
Name:LEMANSKI, SUNDRA A (OD)
Entity type:Individual
Prefix:DR
First Name:SUNDRA
Middle Name:A
Last Name:LEMANSKI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9900 W PARMER LN
Mailing Address - Street 2:STE 210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4909
Mailing Address - Country:US
Mailing Address - Phone:512-339-2020
Mailing Address - Fax:512-339-4041
Practice Address - Street 1:9900 W PARMER LN
Practice Address - Street 2:STE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4909
Practice Address - Country:US
Practice Address - Phone:512-339-2020
Practice Address - Fax:512-339-4041
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX5137T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU60194Medicare UPIN