Individual provider Active NPI

Darla Heck Sacopulos, O.D.

  • Optometrist
  • Brazil, IN
National Provider Identifier
1124139787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002508A Issued in IN
Practice address
325 W National Ave
Brazil, IN 47834-2542
Phone
(812) 443-0060
Fax
(812) 446-5061
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002508A IN Primary

Addresses

Primary practice location

325 W National Ave
Brazil, IN 47834-2542

Mailing address

325 W National Ave
Brazil, IN 47834-2542
Phone (812) 443-0060

Other identifiers 2

IdentifierTypeStateIssuer
5460840001OtherINDMERC
18002508BOtherININDIANA OLDPAC LIC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050518000239 IN Practitioner - Optometry 8527009786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians
Darla Heck Sacopulos PCGroup PAC ID 6901847169, 2 clinicians

Practice addresses (Care Compare)

26 N Brown Ave
Valley Vision Eye
Terre Haute, IN 47803-1523
Phone (812) 872-2020

4949 E Poplar Dr
Terre Haute, IN 47803-2434
Phone (812) 872-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124139787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342542",
            "telephone_number": "812-443-0060",
            "fax_number": "812-446-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342542",
            "telephone_number": "812-443-0060",
            "fax_number": "812-446-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK SACOPULOS",
        "first_name": "DARLA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002508A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5460840001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA OLDPAC LIC.",
            "identifier": "18002508B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brazil, IN

Sources for this page

Verify at the official NPI Registry.