Individual provider Active NPI

Sarah Elizabeth Koehnemann, O.D

  • Optometrist
  • Titusville, FL
National Provider Identifier
1508146663
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4676 Issued in FL
Practice address
338 S Washington Ave
Titusville, FL 32796-3548
Phone
(321) 269-2021
NPI assigned
Aug 22, 2011
Last updated
Oct 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007767 NY
Optometrist 152W00000X OPC4676 FL Primary

Addresses

Primary practice location

338 S Washington Ave
Titusville, FL 32796-3548

Mailing address

338 S Washington Ave
Titusville, FL 32796-3548
Phone (321) 269-2021

Other identifiers 1

IdentifierTypeStateIssuer
008836600MedicaidFL

Other names 1

  • Dr. Sarah Elizabeth Brehm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120921000635 FL Practitioner - Optometry 0840462024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aker Eye Center PAGroup PAC ID 0749242360, 4 clinicians

Practice addresses (Care Compare)

338 S Washington Ave
Titusville, FL 32796-3548
Phone (321) 269-2021

Merit-based Incentive Payment System (MIPS)

Final score
99.22 of 100Reported as group
Quality
98.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007767NYMDOptometrist
007767NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aker Eye Center PA Optometrist CurrentSince Jul 9, 2012 Accepting new patients

Locations

1114 S Washington Ave
Titusville, FL 32780
Phone (321) 269-2021

338 S Washington Ave
Titusville, FL 32796
Phone (321) 269-2021

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1508146663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963548",
            "telephone_number": "321-269-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S WASHINGTON AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963548",
            "telephone_number": "321-269-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHNEMANN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007767",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008836600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BREHM",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.