Active NPI
Sarah Catherine Jackson, OD
- Optometrist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 61415917
- 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
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 | 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61415917 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Visionary Eyecare PLLC | Optometrist | Current | Accepting new patients |
| Washington Visionary Eyecare PLLC | Optometrist | Current | 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.
-
- Optometrist
- Mukilteo, WA
- NPI 1629671599
-
dba Kennewick Vision Care
- Optometrist
- Kennewick, WA
- NPI 1588237945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.
- 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.