Individual provider Active NPI

Sarah Catherine Jackson, OD

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1043994437
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61415917 Issued in WA
Practice address
15617 Bel Red Rd Ste a
Bellevue, WA 98008-2347
Phone
(425) 746-9914
Fax
(425) 746-9916
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61415917 WA Primary

Addresses

Primary practice location

15617 Bel Red Rd Ste a
Bellevue, WA 98008-2347

Mailing address

15617 Bel Red Rd Ste a
Bellevue, WA 98008-2347
Phone (425) 746-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240131003813 WA Practitioner - Optometry 1850744335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15650 NE 24TH St
Suite B
Bellevue, WA 98008-2460
Phone (425) 746-9914

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61415917WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Dec 18, 2023 Accepting new patients
Washington Visionary Eyecare PLLC Optometrist CurrentSince Dec 18, 2023 Accepting new patients

Locations

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

15650 NE 24th St
Ste B
Bellevue, WA 98008
Phone (425) 215-0255

11700 Mukilteo Speedway
Ste 501
Mukilteo, WA 98275
Phone (425) 315-8300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1043994437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15617 BEL RED RD STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082347",
            "telephone_number": "425-746-9914",
            "fax_number": "425-746-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15617 BEL RED RD STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082347",
            "telephone_number": "425-746-9914",
            "fax_number": "425-746-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SARAH",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61415917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.