Individual provider Active NPI

Sarah Kathryn Louallen, OPTICIAN

  • Optician
  • Cincinnati, OH
National Provider Identifier
1215683750
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OP6419SC Issued in OH
Practice address
2322 Ferguson Rd
Cincinnati, OH 45238-3503
Phone
(513) 922-3278
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X OP6419SC OH Primary

Addresses

Primary practice location

2322 Ferguson Rd
Cincinnati, OH 45238-3503

Mailing address

4270 Boomer Rd
Cincinnati, OH 45247-7912
Phone (513) 260-1286

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
OP6419SCOHMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1215683750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 BOOMER RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477912",
            "telephone_number": "513-260-1286",
            "fax_number": "513-557-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 FERGUSON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383503",
            "telephone_number": "513-922-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUALLEN",
        "first_name": "SARAH",
        "middle_name": "KATHRYN",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "OP6419SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.