Individual provider Active NPI

Sarah De Soto, OD

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1386378370
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6125 Issued in FL
Practice address
4121 US Highway 98 N
Lakeland, FL 33809-3818
Phone
(863) 859-7100
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6125 FL Primary

Addresses

Primary practice location

4121 US Highway 98 N
Lakeland, FL 33809-3818

Mailing address

PO Box 93631
Lakeland, FL 33804-3631
Phone (863) 651-8834

Other names 1

  • Sarah Hileman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Drsarahdesoto@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220913002207 FL Practitioner - Optometry 0941685838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

4121 US 98
Lakeland, FL 33809-3818
Phone (863) 859-7100

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6125FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 12, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 12, 2022 Accepting new patients

Locations

7 Eagle Ridge Dr
Lake Wales, FL 33859
Phone (863) 676-0911

4121 US Highway 98 N
Lakeland, FL 33809
Phone (863) 858-3300

4121 US Highway 98 N
Ste A140
Lakeland, FL 33809

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1386378370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93631",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338043631",
            "telephone_number": "863-651-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093818",
            "telephone_number": "863-859-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOTO",
        "first_name": "SARAH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Drsarahdesoto@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4121 US Highway 98 N",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338093818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HILEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.