Individual provider Active NPI

Sherry Lynn Savage, O.D.

  • Optometrist
  • Mt Pleasant, PA
National Provider Identifier
1306056395
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-002460 Issued in PA
Practice address
2100 Summit Ridge PLZ
Mt Pleasant, PA 15666-1969
Phone
(724) 542-9792
NPI assigned
May 22, 2007
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-002460 PA Primary
Corneal and Contact Management Optometrist 152WC0802X OEG-002460 PA
Pediatric Optometrist 152WP0200X OEG-002460 PA

Addresses

Primary practice location

2100 Summit Ridge PLZ
Mt Pleasant, PA 15666-1969

Mailing address

2100 Summit Ridge PLZ
Mt Pleasant, PA 15666-1969
Phone (724) 542-9792

Other names 1

  • Dr. Sherry Lynn Saloom Former name

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
I20110610000395 PA Practitioner - Optometry 8729265152 Practice locations: Latrobe, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-002460PAMDPediatric Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1306056395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SUMMIT RIDGE PLZ",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661969",
            "telephone_number": "724-542-9792",
            "fax_number": "724-542-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SUMMIT RIDGE PLZ",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661969",
            "telephone_number": "724-542-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-002460",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG-002460",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG-002460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "SALOOM",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.