Most Relevant Information
Provider Data
NPI Number: | 1003395633 |
Provider Name: | SUSAN SARRAFI O.D. |
Entity Type: | Individual |
Taxonomy Code: | 152W00000X |
Specialty: | Optometrist |
License Number: | 046011239 |
Most Important Dates
Enumeration Date: | 08/14/2018 |
Last Updated: | 08/27/2018 |
Provider Practice Location
463 CENTRAL AVE
HIGHLAND PARK
IL
60035
Practice Location Phone/Fax
Phone: | 8472666400 |
Fax: | 8472666401 |
Provider Mailing Location
1950 OLD GALLOWS RD STE 520
VIENNA
VA
221823970
Provider Mailing Phone/Fax
Phone: | 7038478899 |
Fax: | 8667954020 |