NPI 1619606936
Sara Wanner, LDO
Practice location
- Address
- 1283 Broad St, Sumter, SC 29150-1973
- Phone
- (803) 905-5525
- Fax
- (803) 905-5527
Registered specialties
Optician
Primary
Registry record
- NPI
- 1619606936
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Jun 2022
- Record last updated
- 10 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.