Individual provider Active NPI

Sara Carbaugh, OD

  • Optometrist
  • Oakland, CA
National Provider Identifier
1073363032
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35650 Issued in CA
Practice address
80 Grand Ave Ste 700
Oakland, CA 94612-3744
Phone
(510) 893-4318
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 35650 CA Primary

Addresses

Primary practice location

80 Grand Ave Ste 700
Oakland, CA 94612-3744

Mailing address

2440 Standard Ave
San Pablo, CA 94806-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20260227002760 PR Practitioner - Optometry 2163903014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Luxottica PL
Mason, OH 45040-8114

55 Calle Barbe
San Juan, PR 00918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35650CAMDOptometrist
775PRMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc CurrentSince Feb 5, 2026 Accepting new patients
Luxottica of America Inc CurrentSince Feb 5, 2026 Accepting new patients

Organizations & group practices 3

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1073363032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 STANDARD AVE",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 700",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123744",
            "telephone_number": "510-893-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAUGH",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.