Individual provider Active NPI

Sarah M Bruno, O.D.

  • Optometrist
  • Glen Mills, PA
National Provider Identifier
1265446462
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001785 Issued in PA
Practice address
1111 Smithbridge Rd Ste 1
Glen Mills, PA 19342-1207
Phone
(610) 459-2020
Fax
(610) 558-7831
NPI assigned
Jul 27, 2006
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001785 PA Primary

Addresses

Primary practice location

1111 Smithbridge Rd Ste 1
Glen Mills, PA 19342-1207

Mailing address

1230 Smithbridge Rd
Chadds Ford, PA 19317-9137
Phone (215) 970-6387

Other identifiers 2

IdentifierTypeStateIssuer
OEG001785OtherPAPA STATE LICENSE NUMBER
1916994OtherPAPENNSYLVANIA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060919000026 PA Practitioner - Optometry 4981609302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Smithbridge Rd
Suite 1
Glen Mills, PA 19342-1207
Phone (610) 469-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001785PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bruno O.D.P.C. Optometrist CurrentSince Jan 3, 2011 Accepting new patients
Craig a. Cassey O D P C Optometrist Past Accepting new patients
Casseys Optical, Inc Past Accepting new patients

Locations

98 Wilmington W Chester Pike
Ste 102
Chadds Ford, PA 19317
Phone (610) 459-2020

1111 Smithbridge Rd
Ste 1
Glen Mills, PA 19342
Phone (610) 459-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1265446462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SMITHBRIDGE RD",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179137",
            "telephone_number": "215-970-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SMITHBRIDGE RD STE 1",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421207",
            "telephone_number": "610-459-2020",
            "fax_number": "610-558-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "SARAH",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "OEG001785",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "1916994",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.