Individual provider Active NPI

Angelique Marie Sawyer, O.D.

  • Optometrist
  • North Conway, NH
National Provider Identifier
1114174950
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0825 Issued in NH
Practice address
1319 White Mountain Hwy
North Conway, NH 03860-5155
Phone
(603) 356-3000
Fax
(603) 356-4101
NPI assigned
Aug 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0825 NH Primary

Addresses

Primary practice location

1319 White Mountain Hwy
North Conway, NH 03860-5155

Mailing address

1319 White Mountain Hwy
North Conway, NH 03860-5155
Phone (603) 356-3000

Other practice location 1

820 Main Street
Berlin, NH 03570
Phone (603) 752-3510

Other identifiers 1

IdentifierTypeStateIssuer
3078850MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20090522000224 NH Practitioner - Optometry 5799834628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sawyer Optometric Services LLCGroup PAC ID 8426304866, 2 clinicians

Practice addresses (Care Compare)

1319 White Mountain Hwy
North Conway, NH 03860-5155
Phone (603) 356-3000

Merit-based Incentive Payment System (MIPS)

Final score
10 of 100Reported as individual
Quality
20
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0825NHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sawyer Optometric Services LLC Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

820 Main St
Berlin, NH 03570
Phone (603) 752-3510

1319 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-3000

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": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1114174950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605155",
            "telephone_number": "603-356-3000",
            "fax_number": "603-356-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605155",
            "telephone_number": "603-356-3000",
            "fax_number": "603-356-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Main Street",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NH",
            "postal_code": "03570",
            "country_code": "US",
            "telephone_number": "603-752-3510",
            "fax_number": "603-752-6887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "ANGELIQUE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078850",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.