Sara Anne Camburn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004407 Issued in MI

Practice address

2735 28TH St SE
Grand Rapids, MI 49512-1610

Phone

(616) 974-2020

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Aeg Michigan Professional LLC

  • Optometrist
  • Chesaning, MI
  • NPI 1053032912
  Medicare reassignment Care Compare group NPD
• Okemos Optometry,PC

  • Optometrist
  • Okemos, MI
  • NPI 1750491213
  Medicare reassignment NPD
• National Vision, Inc.

  • Eyewear Supplier
  • Grand Rapids, MI
  • NPI 1598895617
  NPD (past)
• Suburban Optometrics Assoc P C

  • Optometrist
  • Livonia, MI
  • NPI 1952518748
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245366582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 S FRANCIS RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799570",
            "telephone_number": "989-506-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121610",
            "telephone_number": "616-974-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBURN",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilinca O Caluser, DO
• Calvin Spaud, Inc
• Calvin Spaud, Inc
• Calvin University
• Erika Renee Camarillo
• Leah Cameron
• Nicholas Charles Cameron, DO
• Alyssa Shea Caminata, NP
• Andrew Caminata, MD
• Jackson Camisa

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• 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.