Individual provider Active NPI

Serge W Wright, O.D.

  • Optometrist
  • Sedona, AZ
National Provider Identifier
1447452495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
262 Issued in AZ
Practice address
95 Soldiers Pass Rd
Suite A1
Sedona, AZ 86336-4781
Phone
(928) 282-4126
Fax
(928) 282-5762
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 262 AZ Primary

Addresses

Primary practice location

95 Soldiers Pass Rd
Suite A1
Sedona, AZ 86336-4781

Mailing address

95 Soldiers Pass Rd
Suite A1
Sedona, AZ 86336-4781
Phone (928) 282-4126

Other identifiers 3

IdentifierTypeStateIssuer
1114964939OtherAZSEDONA EYE CARE, P.C NPI
4526786OtherAZAENTA
AZ0171820OtherAZBLUE CROSS BLUE SHIELD

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
I20110124000380 AZ Practitioner - Optometry 5597786020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedona Eye Care PCGroup PAC ID 2668458308, 2 clinicians

Practice addresses (Care Compare)

95 Soldiers Pass Rd
Suite A1
Sedona, AZ 86336-4781
Phone (928) 282-4126

Merit-based Incentive Payment System (MIPS)

Final score
64.74 of 100Reported as individual
Quality
69.71
Promoting interoperability
38
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262AZMDOptometrist

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447452495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS RD",
            "address_2": "SUITE A1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364781",
            "telephone_number": "928-282-4126",
            "fax_number": "928-282-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SOLDIERS PASS RD",
            "address_2": "SUITE A1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364781",
            "telephone_number": "928-282-4126",
            "fax_number": "928-282-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SERGE",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEDONA EYE CARE, P.C NPI",
            "identifier": "1114964939",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "4526786",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0171820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.