Individual provider Active NPI

Sandra Kay Carman, OD

  • Optometrist
  • Luverne, MN
National Provider Identifier
1093779514
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
606 Issued in SD
Practice address
104 N Freeman Ave
Luverne, MN 56156-1628
Phone
(507) 283-2345
Fax
(507) 283-2346
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 606 SD Primary

Addresses

Primary practice location

104 N Freeman Ave
Luverne, MN 56156-1628

Mailing address

104 N Freeman Ave
Luverne, MN 56156-1628
Phone (507) 283-2345

Other identifiers 3

IdentifierTypeStateIssuer
4994630OtherSDBLUE CROSS BLUE SHIELD
86M76CAOtherMNBCBS
9203490MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040413001460 MN Practitioner - Optometry 8224022041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 N Freeman Ave
Luverne, MN 56156-1628
Phone (507) 283-2345

Merit-based Incentive Payment System (MIPS)

Final score
91.51 of 100Reported as individual
Quality
83.02
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
606SDMDGeneral Practice Dentistry
2676MNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkeye Clinic of Luverne, PC Optometrist CurrentSince Sep 1, 2007 Accepting new patients

Locations

104 N Freeman Ave
Luverne, MN 56156
Phone (507) 283-2345

Interoperability endpoints

  • Direct secure messaging: sandra.carman@direct.revolutionehr.com

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1093779514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N FREEMAN AVE",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561628",
            "telephone_number": "507-283-2345",
            "fax_number": "507-283-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N FREEMAN AVE",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561628",
            "telephone_number": "507-283-2345",
            "fax_number": "507-283-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4994630",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86M76CA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203490",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, MN

Sources for this page

Verify at the official NPI Registry.