Provider Demographics
NPI:1922481639
Name:MURPHY, SASHA (OD)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:MURPHY
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 1:3464 N SALIDA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-5031
Mailing Address - Country:US
Mailing Address - Phone:720-615-0671
Mailing Address - Fax:720-615-0672
Practice Address - Street 1:3464 N SALIDA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5031
Practice Address - Country:US
Practice Address - Phone:720-615-0671
Practice Address - Fax:720-615-0672
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003376152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOPT.0003376OtherCO OPTOMETRY LICENSE
CO1922481639Medicaid