Provider Demographics
NPI:1710956115
Name:HARTER, SARA (OD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:HARTER
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 1:1790 E MARKET ST STE 92
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-5112
Mailing Address - Country:US
Mailing Address - Phone:540-434-3937
Mailing Address - Fax:
Practice Address - Street 1:1790 E MARKET ST STE 92
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-5112
Practice Address - Country:US
Practice Address - Phone:540-434-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001368152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9378577OtherUNITED HEATHCARE
VA2133392OtherMAMSI
VA177574OtherANTHEM BCBS
VA249660OtherPHCS
VA016747D71Medicare ID - Type Unspecified
VAV04523Medicare UPIN