Individual provider Active NPI

Sarah A. Martin, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1073799136
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1002 Issued in NV
Practice address
5198 Boulder Hwy
Las Vegas, NV 89122-6002
Phone
(480) 522-0776
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1002 NV Primary
Optometrist 152W00000X 3491AT OR

Addresses

Primary practice location

5198 Boulder Hwy
Las Vegas, NV 89122-6002

Mailing address

8205 Emerald Isle Ave
Las Vegas, NV 89128-7476
Phone (480) 522-0776

Other practice location 1

500 N Rainbow Blvd Ste 300-307
Las Vegas, NV 89107
Phone (888) 495-4489

Other practice location 2

2043 College Way
Forest Grove, OR 97116-1756
Phone (480) 522-0776

Other practice location 3

5407 Bristol Bend Ct
Las Vegas, NV 89135-4002
Phone (702) 675-5935

Other identifiers 1

IdentifierTypeStateIssuer
500657725MedicaidOR

Other names 1

  • Sarah A. Welch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190607002088 NV Practitioner - Optometry 5890864482 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
86.9
Improvement activities
40
Cost
77.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002NVMDObstetrics & Gynecology Physician
1601AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Optica & Supplies LLC Optometrist CurrentSince Mar 13, 2024 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Jul 20, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jul 20, 2019 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jul 20, 2019 Accepting new patients
Mark W. Doubrava M.D. Dba Eye Care for Nevada Current Accepting new patients
Bigger Than the Sky LLC Optometrist CurrentSince Jun 16, 2024 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Meadows Healthcare LLC CurrentSince Mar 1, 2023 Accepting new patients
Ton San Simon Health Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Low Vision Resource Center-Dba Viewfinder Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Catalina Eye Care PC Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Vista Eye Care, PLC Optometrist PastSince Jul 1, 2007 Accepting new patients

Locations

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2749 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (702) 568-0686

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

5295 S Durango Dr
Ste 102
Las Vegas, NV 89113

9011 W Sahara Ave
Ste 101
Las Vegas, NV 89117
Phone (702) 792-3937

2121 Civic Center Dr
North Las Vegas, NV 89030
Phone (725) 258-8688

2120 E Calvada Blvd
Pahrump, NV 89048
Phone (775) 727-8300

5465 Meadowood Mall Cir
Reno, NV 89502
Phone (775) 826-4100

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1073799136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 EMERALD ISLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287476",
            "telephone_number": "480-522-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226002",
            "telephone_number": "480-522-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Rainbow Blvd Ste 300-307",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89107",
            "country_code": "US",
            "telephone_number": "888-495-4489",
            "fax_number": "602-865-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2043 College Way",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161756",
            "country_code": "US",
            "telephone_number": "480-522-0776",
            "fax_number": "503-352-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5407 Bristol Bend Ct",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891354002",
            "country_code": "US",
            "telephone_number": "702-675-5935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SARAH",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1002",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3491AT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500657725",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WELCH",
            "middle_name": "A.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.