Sarah Beth Nissen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001885 Issued in PA

Practice address

2805 W Chester Pike
Broomall, PA 19008-1827

Phone

(610) 356-3933

Fax

(610) 356-3324

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Chester Optometry, P.C.Group PAC ID 4082738067, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• West Chester Optometry, P.C.

  • Optometrist
  • Broomall, PA
  • NPI 1275845273
  Medicare reassignment Care Compare group NPD
• Sidney I & Jerry P Davidoff PTR

  • Optometrist
  • Broomall, PA
  • NPI 1356313688
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1164523924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HAVERFORD RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963318",
            "telephone_number": "610-930-6858",
            "fax_number": "610-356-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190081827",
            "telephone_number": "610-356-3933",
            "fax_number": "610-356-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janulla Ndrio, OTR/L
• Shannon Maurice Neary, D.M.D.
• Christine Marie Nelson, LSW
• Jimmy Tuy Nguyen, O.D.
• To-Vy Kim Nguyen, OTR/L
• Elizabeth Norton
• Jamie Marie O'Boyle, RD,LDN
• Melissa O'Brien
• Jennifer Lee O'Gara, MPT
• Rosemary Ann O'Halloran, PT, DPT, LAT, ATC

• Optometrist in Broomall, PA
• Providers in Broomall, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.