Active NPI
Sandra Kay Carman, OD
- Optometrist
- Luverne, MN
National Provider Identifier
1093779514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 606
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4994630 | Other | SD | BLUE CROSS BLUE SHIELD |
| 86M76CA | Other | MN | BCBS |
| 9203490 | Medicaid | SD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 83.02
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606 | SD | MD | General Practice Dentistry |
| 2676 | MN | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawkeye Clinic of Luverne, PC | Optometrist | Current | Accepting new patients |
Locations
104 N Freeman Ave
Luverne, MN 56156
Phone (507) 283-2345
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.