Provider Demographics
NPI:1447690037
Name:BIXBY-DUBOIS, SARAH WOOLCOTT (OD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:WOOLCOTT
Last Name:BIXBY-DUBOIS
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 1:800 GLACIER AVE STE B
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1855
Mailing Address - Country:US
Mailing Address - Phone:907-586-9864
Mailing Address - Fax:907-463-2679
Practice Address - Street 1:800 GLACIER AVE STE B
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1855
Practice Address - Country:US
Practice Address - Phone:907-586-9864
Practice Address - Fax:907-463-2679
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK339152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist