Individual provider Active NPI

Sarah Burch Marietta, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1437532793
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002527 Issued in AZ
Practice address
2222 E Camelback Rd Ste 250M
Phoenix, AZ 85016-3427
Phone
(602) 840-3501
Fax
(602) 840-3671
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3244 TN
Optometrist 152W00000X OPT-002527 AZ Primary

Addresses

Primary practice location

2222 E Camelback Rd Ste 250M
Phoenix, AZ 85016-3427

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2651
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210827001426 AZ Practitioner - Optometry 4688965080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plaza del Rio Eye Clinic PCGroup PAC ID 3971597667, 3 clinicians

Practice addresses (Care Compare)

13340 N 94TH Dr
Peoria, AZ 85381-4236
Phone (623) 977-8341

Merit-based Incentive Payment System (MIPS)

Final score
83.45 of 100Reported as group
Quality
97.6
Promoting interoperability
97
Improvement activities
40
Cost
49.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002527AZMDOptometrist
3244TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza del Rio Eye Clinic, PC CurrentSince Jul 31, 2023 Accepting new patients

Locations

13340 N 94th Dr
Peoria, AZ 85381
Phone (623) 972-1101

Interoperability endpoints

  • Direct secure messaging: dr.sarah.marietta@direct.eyecare-partners.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDBECD

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1437532793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262651",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E CAMELBACK RD STE 250M",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163427",
            "telephone_number": "602-840-3501",
            "fax_number": "602-840-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIETTA",
        "first_name": "SARAH",
        "middle_name": "BURCH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3244",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.