Individual provider Active NPI

Sara Jo Meyer, O.D.

  • Optometrist
  • Champaign, IL
National Provider Identifier
1235257544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IL046008936 Issued in IL
Practice address
2008 Round Barn Rd
Champaign, IL 61821-3623
Phone
(217) 355-6464
Fax
(217) 355-6476
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL046008936 IL Primary

Addresses

Primary practice location

2008 Round Barn Rd
Champaign, IL 61821-3623

Mailing address

2008 Round Barn Rd
Champaign, IL 61821-3623
Phone (217) 355-6464

Other names 1

  • Sara Jo Louis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20160826000991 IL Practitioner - Optometry 6103111356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C-U Eyecare LLCGroup PAC ID 7012202252, 2 clinicians

Practice addresses (Care Compare)

2008 Round Barn Rd
Champaign, IL 61821-3623
Phone (217) 355-6464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IL046008936ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C-U Eyecare LLC Optometrist CurrentSince May 20, 2016 Accepting new patients
Julen'S Opticians, Inc. PastSince Jul 27, 2016 Accepting new patients

Locations

2008 Round Barn Rd
Champaign, IL 61821
Phone (217) 355-6464

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235257544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 ROUND BARN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213623",
            "telephone_number": "217-355-6464",
            "fax_number": "217-355-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 ROUND BARN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213623",
            "telephone_number": "217-355-6464",
            "fax_number": "217-355-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SARA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL046008936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "LOUIS",
            "middle_name": "JO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.