Individual provider Active NPI

Sara Browning Cooper, OD

  • Optometrist
  • Valdosta, GA
National Provider Identifier
1386473395
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003585 Issued in GA
Practice address
4120 N Valdosta Rd Ste a
Valdosta, GA 31602-4973
Phone
(299) 244-2068
Fax
(229) 244-2850
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 OPT003585 GA Primary

Addresses

Primary practice location

4120 N Valdosta Rd Ste a
Valdosta, GA 31602-4973

Mailing address

4120 N Valdosta Rd Ste a
Valdosta, GA 31602-4973
Phone (229) 244-2068

Other practice location 1

416 Tift Ave N
Tifton, GA 31794-4466
Phone (229) 391-4180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240814003387 GA Practitioner - Optometry 8729526363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Georgia Eye Partners PCGroup PAC ID 3375671589, 7 clinicians

Practice addresses (Care Compare)

4120 N Valdosta Rd
Suite a
Valdosta, GA 31602-4973
Phone (229) 244-2068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Eye Partners PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Gainesville Eye Associates LLC Optometrist Current Accepting new patients

Locations

200 Doctors Dr
Ste M
Douglas, GA 31533
Phone (912) 384-1840

416 Tift Ave N
Tifton, GA 31794
Phone (229) 386-8800

4120 N Valdosta Rd
Ste A
Valdosta, GA 31602
Phone (229) 244-2068

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: scooper@esp.intellechartdirect.net

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1386473395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 N VALDOSTA RD STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024973",
            "telephone_number": "229-244-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 N VALDOSTA RD STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024973",
            "telephone_number": "299-244-2068",
            "fax_number": "229-244-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Tift Ave N",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317944466",
            "country_code": "US",
            "telephone_number": "229-391-4180",
            "fax_number": "229-391-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SARA",
        "middle_name": "BROWNING",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.