Sara E Pastryk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003287A Issued in IN

Practice address

3424 Mormon Coulee Rd
La Crosse, WI 54601-6750

Phone

(608) 788-4300

Fax

(608) 788-4325

NPI assigned

Dec 23, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1174500870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 MORMON COULEE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016750",
            "telephone_number": "608-788-4300",
            "fax_number": "608-788-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 MORMON COULEE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016750",
            "telephone_number": "608-788-4300",
            "fax_number": "608-788-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRYK",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003287A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "18003287A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200498380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cydney Todd Parker, M.D.
• Angadbir Singh Parmar, M.D
• Betsy Lynne Parr, BSSW
• Benjamin M Parsons, D.O.
• Christina R Pasell
• Carol Preston Pate, C.O.
• Scott Christian Pate, M.D.
• Prakash Pathak, MD
• Elisha Patterson
• Hannah Patterson

• Optometrist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.