Individual provider Active NPI

Sarah Rowe, O.D.

  • Optometrist
  • Excelsior, MN
National Provider Identifier
1376823146
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3248 Issued in MN
Practice address
143 Oak St
Excelsior, MN 55331
Phone
(952) 401-1700
Fax
(952) 401-7908
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3248 MN Primary

Addresses

Primary practice location

143 Oak St
Excelsior, MN 55331

Mailing address

16605 55TH Ave N
Plymouth, MN 55446-3879

Other practice location 1

8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315
Phone (952) 563-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120405000061 MN Practitioner - Optometry 0840451530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 Oak St
Excelsior, MN 55331-3030
Phone (952) 401-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3248MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallerich Eye Care LLC Dba Swoop Eye Care Optometrist Current Accepting new patients
Spectrum Eye Care LLC Optometrist CurrentSince Oct 16, 2017 Accepting new patients

Locations

8225 Flying Cloud Dr
Eden Prairie, MN 55344
Phone (952) 563-0246

143 Oak St
Excelsior, MN 55331
Phone (612) 845-7692

Organizations & group practices 2

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1376823146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 55TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 OAK ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "55331",
            "telephone_number": "952-401-1700",
            "fax_number": "952-401-7908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8225 Flying Cloud Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553445315",
            "country_code": "US",
            "telephone_number": "952-563-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "SARAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

Verify at the official NPI Registry.