Individual provider Active NPI

Sarah Pilat Brannon, OD

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1023098688
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001539 Issued in VA
Practice address
12100 Kennedy LN
Ste 206
Fredericksburg, VA 22407-6760
Phone
(540) 785-3937
Fax
(540) 785-5498
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001539 VA Primary

Addresses

Primary practice location

12100 Kennedy LN
Ste 206
Fredericksburg, VA 22407-6760

Mailing address

12100 Kennedy LN
Ste 206
Fredericksburg, VA 22407-6760
Phone (540) 785-3937

Other names 1

  • Dr. Sarah Elizabeth Pilat Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060510000513 VA Practitioner - Optometry 4183635774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah P Brannon OD PCGroup PAC ID 5597715490, 2 clinicians

Practice addresses (Care Compare)

12100 Kennedy LN
Suite 206
Fredericksburg, VA 22407-6760
Phone (540) 785-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5333OHMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah P. Brannon OD PC Optometrist CurrentSince Jan 24, 2006 Accepting new patients
Ohio Vision of Toledo Inc Past Accepting new patients

Locations

12100 Kennedy Ln
Ste 206
Fredericksburg, VA 22407
Phone (540) 785-3937

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1023098688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 KENNEDY LN",
            "address_2": "STE 206",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076760",
            "telephone_number": "540-785-3937",
            "fax_number": "540-785-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 KENNEDY LN",
            "address_2": "STE 206",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076760",
            "telephone_number": "540-785-3937",
            "fax_number": "540-785-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "SARAH",
        "middle_name": "PILAT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PILAT",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.