Organization Active NPI

Sarah Joseph John

Doing business as sarah j john o.d.

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1124247317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
42822T Issued in TX
Legal business name
SARAH JOSEPH JOHN
Doing business as
sarah j john o.d.
Practice address
3000 Town East Mall
Mesquite, TX 75150-4120
Phone
(972) 681-1715
Fax
(972) 681-2066
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sarah J John, O.D.NPI 1295744845
Title
Optometrist
Phone
(972) 681-1715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 42822T TX Primary

Addresses

Primary practice location

3000 Town East Mall
Mesquite, TX 75150-4120

Mailing address

3000 Town East Mall
Mesquite, TX 75150-4120
Phone (972) 681-1715

Other names 1

  • sarah j john o.d. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070418000440 TX Part B Supplier - Clinic/Group Practice 7113022211 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Locations

1050 N Belt Line Rd
Ste 105
Mesquite, TX 75149
Phone (972) 288-4448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124247317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 TOWN EAST MALL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504120",
            "telephone_number": "972-681-1715",
            "fax_number": "972-681-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 TOWN EAST MALL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504120",
            "telephone_number": "972-681-1715",
            "fax_number": "972-681-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH JOSEPH JOHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "972-681-1715",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "42822T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sarah j john o.d.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.