Sarah Blackwelder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9882TG Issued in TX

Practice address

12000 Manchaca Rd Ste B
Austin, TX 78748-3786

Phone

(512) 358-8200

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Southern California College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blackwelder Optometry, PLLC

  • Optometrist
  • Austin, TX
  • NPI 1972130862
  Medicare reassignment NPD Authorized official
• Dr.Harvey Goldstone, a Professional Corporation

  • Optometrist
  • Long Beach, CA
  • NPI 1316156037
  NPD (past)
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1487184818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MANCHACA RD UNIT B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483785",
            "telephone_number": "512-358-8200",
            "fax_number": "512-358-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MANCHACA RD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483786",
            "telephone_number": "512-358-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 E Carson St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908073044",
            "country_code": "US",
            "telephone_number": "562-422-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELDER",
        "first_name": "SARAH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33709TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9882TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Blackmon
• April Blackmore, LM
• Ashley Marie Blackshare, FNP-C
• Shannon Blackstock, RN, CPNP
• Blackwelder Optometry, PLLC
• Charles D Blackwell, PHARM. D.
• Jillian Leah Blackwell, PHARMD
• Rebecca J Blackwell
• Lisa Blackwood, LPC
• Tiara Blackwood

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.