Individual provider Active NPI

Sara Ann Sillik-Hale, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1124868377
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002793 Issued in AZ
Practice address
1010 E McDowell Rd Ste 301
Phoenix, AZ 85006-2609
Phone
(602) 222-2234
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 OPT-002793 AZ Primary

Addresses

Primary practice location

1010 E McDowell Rd Ste 301
Phoenix, AZ 85006-2609

Mailing address

18635 N 35TH Ave Ste 103
Phoenix, AZ 85027-6182
Phone (602) 222-2234

Other practice location 1

10825 W McDowell Rd Ste 201
Avondale, AZ 85392-5228
Phone (602) 222-2234

Other practice location 2

18635 N 35th Ave Ste 103
Phoenix, AZ 85027-6182
Phone (602) 222-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002793AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Brain Academy PastSince May 7, 2023 Accepting new patients
Abc Children'S Eye Specialists PC PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1124868377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18635 N 35TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276182",
            "telephone_number": "602-222-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E MCDOWELL RD STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062609",
            "telephone_number": "602-222-2234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10825 W McDowell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853925228",
            "country_code": "US",
            "telephone_number": "602-222-2234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18635 N 35th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850276182",
            "country_code": "US",
            "telephone_number": "602-222-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILLIK-HALE",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.