Sarah Scalley Robertson, O.D. – Optometrist

Key facts

NPI: 1063709202
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: 6069 (OH)
Practice address: 4030 Easton Sta Ste 220
Columbus, OH 43219-7012
Phone: (614) 269-4150
NPI assigned: Jul 8, 2011
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Family First Vision Care, LLC Optometrist · Columbus, OH · NPI 1427462183

Medicare reassignment Care Compare group OH

Medicare Care Compare profile

Specialty: Optometry
Education: Ohio State University - College of Optometry, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Family First Vision Care LLC (25 clinicians)

Practice addresses (Care Compare)

1150 Polaris Pkwy
Columbus, OH 43240-2024
Phone (614) 847-3912

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20110908001935	OH	Practitioner - Optometry	4385814995	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6069	OH	MD	Optometrist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	6069	OH	Yes

Addresses

Primary practice location

4030 Easton Sta Ste 220
Columbus, OH 43219-7012

Mailing address

520 Winding Way
Zanesville, OH 43701-1578
Phone (615) 560-3365

Other practice location 1

440 Polaris Pkwy Ste 325
Westerville, OH 43082-7228
Phone (614) 523-3908

Other practice location 2

6670 Perimeter Dr Ste 155
Dublin, OH 43016-8059
Phone (614) 436-1000

Other names

Dr. Sarah Renee Scalley Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2023.

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1063709202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WINDING WAY",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011578",
            "telephone_number": "615-560-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 EASTON STA STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197012",
            "telephone_number": "614-269-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Polaris Pkwy Ste 325",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827228",
            "country_code": "US",
            "telephone_number": "614-523-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6670 Perimeter Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168059",
            "country_code": "US",
            "telephone_number": "614-436-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SARAH",
        "middle_name": "SCALLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SCALLEY",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

All providers in Columbus, OH · Optometrist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.