Active NPI
Randall Scott Sauer, O.D.
- Optometrist
- Stillwater, OK
National Provider Identifier
1013359504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2793
- Practice address
- 1711 W 6TH Ave
Stillwater, OK 74074-4200 - Phone
- (405) 372-1715
- Fax
- (405) 372-3350
- NPI assigned
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2793 | OK | Primary |
Addresses
Primary practice location
1711 W 6TH Ave
Stillwater, OK 74074-4200
Mailing address
1711 W 6TH Ave
Stillwater, OK 74074-4200
Phone (405) 372-1715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2793 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cockrell Eyecare Center | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Pawnee, OK
- NPI 1225158314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1013359504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744200",
"telephone_number": "405-372-1715",
"fax_number": "405-372-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744200",
"telephone_number": "405-372-1715",
"fax_number": "405-372-3350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUER",
"first_name": "RANDALL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-24",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.