Provider Demographics
NPI:1295994317
Name:MACKINNON, SARAH ELIZABETH (OC(C), COMT)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:MACKINNON
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Gender:F
Credentials:OC(C), COMT
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:DEPT OF OPHTHALMOLOGY, FEGAN 4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6845
Mailing Address - Fax:617-730-0392
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:DEPT OF OPHTHALMOLOGY, FEGAN 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6845
Practice Address - Fax:617-730-0392
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
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Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1900XEye and Vision Services ProvidersTechnician/TechnologistOrthoptist