Individual provider Active NPI

Sarah Wildermuth, O.D.

  • Optometrist
  • Findlay, OH
National Provider Identifier
1003297441
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6417 Issued in OH
Practice address
334 S Main St
Findlay, OH 45840-3353
Phone
(419) 422-2015
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6417 OH Primary

Addresses

Primary practice location

334 S Main St
Findlay, OH 45840-3353

Mailing address

334 S Main St
Findlay, OH 45840-3353
Phone (419) 422-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812007850 OH Practitioner - Optometry 0648585117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Main Optometry LLCGroup PAC ID 6800943325, 4 clinicians

Practice addresses (Care Compare)

107 S Main St
Ada, OH 45810-1240
Phone (419) 634-2921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6417OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Main Optometry LLC Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Eyes on Main Optometry LLC Optometrist CurrentSince Jul 1, 2015 Accepting new patients

Locations

107 S Main St
Ada, OH 45810
Phone (419) 634-2921

334 S Main St
Findlay, OH 45840
Phone (419) 422-2015

Networks

  • OH PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1003297441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403353",
            "telephone_number": "419-422-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403353",
            "telephone_number": "419-422-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDERMUTH",
        "first_name": "SARAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.