Sara R Kurtis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009779 Issued in IL

Practice address

4429 16TH St
Moline, IL 61265-7011

Phone

(309) 762-3937

Fax

(309) 623-6993

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodham Eye Care LLC

  • Optometrist
  • Moline, IL
  • NPI 1740948652
  NPD
• Kehoe Eye Care PC

  • Optometrist
  • Galesburg, IL
  • NPI 1235104035
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1043283146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657011",
            "telephone_number": "309-762-3937",
            "fax_number": "309-623-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657011",
            "telephone_number": "309-762-3937",
            "fax_number": "309-623-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTIS",
        "first_name": "SARA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009779",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0476210001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04821476",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Usharani M Kumar, M.D.
• Reena Kunreddy, M.D
• Kurani Med Inc
• Bhranti Kurani
• Ilesh Amratlal Kurani, MD
• Laboratory Corporation of America
• Kristina M Lacplesis, DNP-CRNA
• Shayonte Lagrone
• Lai See Lam, MD
• Scott Alan Lamb, PTA

• Optometrist in Moline, IL
• Providers in Moline, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.

Verify at the official NPI Registry.