Sarah Lynn Koehn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

277T Issued in WY

Practice address

312 E Lakeway Rd
Gillette, WY 82718-6329

Phone

(307) 686-8199

Fax

(307) 686-1052

NPI assigned

Aug 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Pacific University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Wyoming, P.C.Group PAC ID 8921169269, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eye Care Associates of Wyoming, P.C.

  • Optometrist
  • Gillette, WY
  • NPI 1528210515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215929021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILDERNESS DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185232",
            "telephone_number": "307-680-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E LAKEWAY RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186329",
            "telephone_number": "307-686-8199",
            "fax_number": "307-686-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "277T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117742700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna L Knox, LPC, ED.D., NCC
• Jessica Knust
• Amber Knuths, CRNA
• Braeden L Knutson, DPT
• Brahmananda Kiran Koduri, M.D
• Susy Kraft, PCSW
• Carol Christine Kramer, NCSP, ABSNP
• Chelsi Jean Krehmeyer, PA-C
• Kelsey Krei
• Hollie Alberta Kreul, RN

• Optometrist in Gillette, WY
• Providers in Gillette, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.