Organization Active NPI

Sarah K. Ebeling, OD, PLLC

Doing business as Wink Family Eye Care

  • Optometrist
  • Chanhassen, MN
National Provider Identifier
1336541408
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3137 Issued in MN
Legal business name
SARAH K. EBELING, OD, PLLC
Doing business as
Wink Family Eye Care
Practice address
600 Market St
Suite 110
Chanhassen, MN 55317-9443
Phone
(952) 937-9465
Fax
(952) 937-9332
NPI assigned
Sep 20, 2014
Last updated
Sep 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Authorized official

Name
Dr. Sarah K Ebeling, ODNPI 1851522338
Title
Optometrist/Owner
Phone
(952) 388-7719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3137 MN Primary

Addresses

Primary practice location

600 Market St
Suite 110
Chanhassen, MN 55317-9443

Mailing address

600 Market St
Suite 110
Chanhassen, MN 55317-9443
Phone (952) 937-9465

Other names 1

  • Wink Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141125000672 MN Part B Supplier - Clinic/Group Practice 5092037200 Receives reassigned benefits from 3 practitioners
Practice locations: Chanhassen, MN

National Provider Directory

National Provider Directory

Locations

600 Market St
Ste 110
Chanhassen, MN 55317
Phone (952) 388-7719

600 Market St
Ste 190
Chanhassen, MN 55317
Phone (952) 937-9465

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411171200000",
    "number": "1336541408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARKET ST",
            "address_2": "SUITE 110",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179443",
            "telephone_number": "952-937-9465",
            "fax_number": "952-937-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARKET ST",
            "address_2": "SUITE 110",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179443",
            "telephone_number": "952-937-9465",
            "fax_number": "952-937-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH K. EBELING, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A",
        "authorized_official_last_name": "EBELING",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "952-388-7719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.