Individual provider Active NPI

Sara E Phelps, O.D.

  • Optometrist
  • Brunswick, GA
National Provider Identifier
1154346088
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002311 Issued in GA
Practice address
3303A Glynn Ave
Brunswick, GA 31520-4406
Phone
(912) 466-9500
Fax
(912) 466-9922
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002311 GA Primary

Addresses

Primary practice location

3303A Glynn Ave
Brunswick, GA 31520-4406

Mailing address

3303 Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500

Other identifiers 1

IdentifierTypeStateIssuer
GRP3399OtherGAMEDICARE ID-TYPE UNSPECIF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20060829000097 GA Practitioner - Optometry 0244234540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaside Ophthalmology IncGroup PAC ID 3375571995, 7 clinicians

Practice addresses (Care Compare)

3303 A Glynn Ave
Brunswick, GA 31520-4406
Phone (912) 466-9500

3303 Glynn Ave
A
Brunswick, GA 31520-4406

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002311GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Ophthalmology, Inc Optometrist CurrentSince May 5, 2014 Accepting new patients

Locations

3303 Glynn Ave
#A
Brunswick, GA 31520
Phone (912) 466-9500

3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800

1891 Highway 40 E
Ste 1102
Kingsland, GA 31548
Phone (912) 576-4466

101 Darling Ave
Waycross, GA 31501
Phone (912) 287-1297

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1154346088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204406",
            "telephone_number": "912-466-9500",
            "fax_number": "912-466-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303A GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204406",
            "telephone_number": "912-466-9500",
            "fax_number": "912-466-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIF",
            "identifier": "GRP3399",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.