Individual provider Active NPI

Sarah Gibson, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1467846931
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7839 Issued in TX
Practice address
3313 Ranch Road 620 S
Austin, TX 78738-6870
Phone
(512) 263-3550
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7839 TX Primary

Addresses

Primary practice location

3313 Ranch Road 620 S
Austin, TX 78738-6870

Mailing address

3313 RR 620 S Ste 200
Austin, TX 78738-6871
Phone (512) 263-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210709002476 OR Practitioner - Optometry 8628384815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Ventures LLCGroup PAC ID 7416270103, 3 clinicians

Practice addresses (Care Compare)

307 E Hancock St
Newberg, OR 97132-2825
Phone (503) 538-2010

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
97.47
Improvement activities
40
Cost
71.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7839TXMDGeneral Practice Dentistry
4535ORMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Ventures LLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Stuart a Terry MD PA PastSince May 1, 2021 Accepting new patients

Locations

307 E Hancock St
Newberg, OR 97132
Phone (503) 538-2010

25699 SW Argyle Ave
Ste A
Wilsonville, OR 97070
Phone (503) 833-2662

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1467846931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 RR 620 S STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386871",
            "telephone_number": "512-263-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 RANCH ROAD 620 S",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386870",
            "telephone_number": "512-263-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.