Active NPI
Carole L Sachs, OD
- Optometrist
- Turlock, CA
National Provider Identifier
1205821741
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4872TPA
- Practice address
- 200 N Broadway
Suite E
Turlock, CA 95380-4744 - Phone
- (209) 667-1234
- Fax
- (209) 667-1234
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4872TPA | CA | Primary |
Addresses
Primary practice location
200 N Broadway
Suite E
Turlock, CA 95380-4744
Mailing address
200 N Broadway
Suite E
Turlock, CA 95380-4744
Phone (209) 667-1234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0048721 | Medicaid | CA | |
| SD0048720 | Medicaid | CA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4872TPA | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1205821741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BROADWAY",
"address_2": "SUITE E",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953804744",
"telephone_number": "209-667-1234",
"fax_number": "209-667-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BROADWAY",
"address_2": "SUITE E",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953804744",
"telephone_number": "209-667-1234",
"fax_number": "209-667-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHS",
"first_name": "CAROLE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "4872TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0048721",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0048720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.