Sarah Jane Paikowsky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

00980 Issued in AZ

Practice address

12801 W Bell Rd
Suite 12
Surprise, AZ 85374-9797

Phone

(623) 583-0377

Fax

(623) 583-0378

NPI assigned

Jul 9, 2006

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 AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Vision and Achievement Centers Inc

  • Optometrist
  • Phoenix, AZ
  • NPI 1558553123
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225061377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 E ALAN LN",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531162",
            "telephone_number": "480-570-9078",
            "fax_number": "480-315-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 W BELL RD",
            "address_2": "SUITE 12",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749797",
            "telephone_number": "623-583-0377",
            "fax_number": "623-583-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIKOWSKY",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "00980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539554",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Christine Pace-Ellibee, RN
• Ashtyn Pace
• Triveni Vilas Padale, DMD
• Destiny Padilla
• Ashley Paez
• Danielle Palacios
• Palm Vein Center LLC
• Richard Michael Palmer, M.D., CEDIR
• Sainamitha Reddy Palnati, DO
• Kendra Palumbo

• Optometrist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.