Sasha L Radford, O.D.

NPI #1124009162 in Pontiac, Illinois

Provider Information

NPI Number: 1124009162
Entity Type: Individual
Name: Sasha L Radford, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 8, 2005
Last Updated: Jul 23, 2020

Practice Location

Address: 320 N LADD ST
City: Pontiac
State: Illinois
ZIP Code: 61764-1612
Phone: (815) 842-4304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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