Individual provider Active NPI

Sarah Elizabeth Wolff, O.D.

  • Optometrist
  • Bellflower, CA
National Provider Identifier
1093942203
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13505T Issued in CA
Practice address
16816 Clark Ave
Bellflower, CA 90706-5702
Phone
(562) 925-6591
Fax
(562) 867-8719
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13505T CA Primary

Addresses

Primary practice location

16816 Clark Ave
Bellflower, CA 90706-5702

Mailing address

751 Schenley Bay
Costa Mesa, CA 92626-2983
Phone (714) 668-0953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090811000383 CA Practitioner - Optometry 2062566037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Vision Care Associates Inc Optometrist CurrentSince Jul 27, 2009 Accepting new patients

Locations

16816 Clark Ave
Bellflower, CA 90706
Phone (310) 925-6591

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1093942203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 SCHENLEY BAY",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262983",
            "telephone_number": "714-668-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16816 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065702",
            "telephone_number": "562-925-6591",
            "fax_number": "562-867-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13505T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.