Individual provider Active NPI

Sarah C Johle, O.D.

  • Optometrist
  • Hutto, TX
National Provider Identifier
1326201450
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7269TG Issued in TX
Practice address
202 Hwy 79
Hutto, TX 78634
Phone
(512) 846-1004
Fax
(512) 846-1006
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7269TG TX Primary

Addresses

Primary practice location

202 Hwy 79
Hutto, TX 78634

Mailing address

PO Box 846
Hutto, TX 78634-0846
Phone (512) 846-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080930000254 TX Practitioner - Optometry 9931276169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutto Eye Care PLLCGroup PAC ID 5496801144, 4 clinicians

Practice addresses (Care Compare)

401 Exchange Blvd
BLDG 1
Hutto, TX 78634-5718
Phone (512) 846-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7269TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hutto Eye Care PLLC Optometrist CurrentSince Aug 4, 2009 Accepting new patients

Locations

401 Exchange Blvd
Bldg 1
Hutto, TX 78634
Phone (512) 846-1004

Interoperability endpoints

  • Direct secure messaging: drjohle@hutto-family-eye-care.direct.kno2fy.com

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1326201450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786340846",
            "telephone_number": "512-846-1004",
            "fax_number": "512-846-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HWY 79",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "78634",
            "telephone_number": "512-846-1004",
            "fax_number": "512-846-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHLE",
        "first_name": "SARAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7269TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.