Individual provider Active NPI

Sarah Jane Persaud, OD

  • Optometrist
  • Miramar, FL
National Provider Identifier
1093479040
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6030 Issued in FL
Practice address
7917 Fairway Blvd
Miramar, FL 33023-6417
Phone
(954) 732-4892
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6030 FL Primary

Addresses

Primary practice location

7917 Fairway Blvd
Miramar, FL 33023-6417

Mailing address

7917 Fairway Blvd
Miramar, FL 33023-6417
Phone (954) 732-4892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240403004345 FL Practitioner - Optometry 6901244375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6030FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Collins, Jr, MD, PA CurrentSince Jan 29, 2024 Accepting new patients

Locations

6900 International Center Blvd
Fort Myers, FL 33912
Phone (239) 593-7747

875 105th Ave N
Naples, FL 34108
Phone (239) 262-4798

3665 Tamiami Trl
Unit 101
Punta Gorda, FL 33950
Phone (239) 936-4706

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.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1093479040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 FAIRWAY BLVD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236417",
            "telephone_number": "954-732-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7917 FAIRWAY BLVD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236417",
            "telephone_number": "954-732-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSAUD",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.