Individual provider Active NPI

Sarah Marie Alquist, OD

  • Optometrist
  • Broadview Heights, OH
National Provider Identifier
1275155129
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006849 Issued in OH
Practice address
1261 W Royalton Rd
Broadview Heights, OH 44147-2407
Phone
(440) 526-7070
Fax
(888) 853-0338
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 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 OPT.006849 OH Primary

Addresses

Primary practice location

1261 W Royalton Rd
Broadview Heights, OH 44147-2407

Mailing address

276 Woodsfield CT
Powell, OH 43065-8906

Other names 1

  • Sarah Marie Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200601001854 OH Practitioner - Optometry 3870914740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie Eye Associates LTDGroup PAC ID 1052367091, 7 clinicians

Practice addresses (Care Compare)

1261 W Royalton Rd
Broadview HTS, OH 44147-2407
Phone (440) 526-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Eye Associates LTD Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

1318 W Bagley Rd
Berea, OH 44017
Phone (440) 526-7070

403 E Royalton Rd
Ste 118
Broadview Hts, OH 44147
Phone (440) 526-7070

1261 W Royalton Rd
Broadview Hts, OH 44147
Phone (440) 526-7070

Organizations & group practices 1

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1275155129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 WOODSFIELD CT",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 W ROYALTON RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472407",
            "telephone_number": "440-526-7070",
            "fax_number": "888-853-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALQUIST",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GRAY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.