Sarah Rose Elmore, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T3411 Issued in TN

Practice address

2011 N Roan St Ste E6
Johnson City, TN 37601-3122

Phone

(423) 610-7155

Fax

(423) 610-7154

NPI assigned

May 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• MS PPO C-SNP
• MS PPO
• MS PPO D-SNP

Interoperability endpoints

• Direct secure messaging: sarah.elmore@direct.revolutionehr.com

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

• Dr. Torrey J. Carlson & Associates

  • Optometrist
  • Kingsport, TN
  • NPI 1366480964
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013444264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N ROAN ST STE E6",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013122",
            "telephone_number": "423-610-7155",
            "fax_number": "423-610-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 N ROAN ST STE E6",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013122",
            "telephone_number": "423-610-7155",
            "fax_number": "423-610-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T3411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033540",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meg Williams Ellis, PA-C
• Milton Keith Ellis, D.D.S.
• Madison B. Ellison, FNP
• Megan Ellison, PHARMD
• Rabab Ismail Elmezayen, MD., PHD.
• Yasmin M Elshenawy, M.D
• Allison Elaine Elswick
• Lindsey Townsend Elswick, FNP
• Myesa H Emberesh
• Emergency Care Physicians, Inc.

• Optometrist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.