Individual provider Active NPI

Sarah Jeanne Jerome, OD

  • Optometrist
  • Saint Paul, MN
National Provider Identifier
1528049459
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2779 Issued in MN
Practice address
1026 7TH St W
Saint Paul, MN 55102-3828
Phone
(651) 758-9500
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2779 MN Primary

Addresses

Primary practice location

1026 7TH St W
Saint Paul, MN 55102-3828

Mailing address

1026 7TH St W
Saint Paul, MN 55102-3828
Phone (651) 758-9500

Other identifiers 1

IdentifierTypeStateIssuer
998103900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040124000179 MN Practitioner - Optometry 1254233760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Family Practice Health CenterGroup PAC ID 0042109258, 19 clinicians
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

1026 7TH St W
Saint Paul, MN 55102-3828
Phone (651) 758-9500

1313 Penn N Ave
Minneapolis, MN 55411-3047
Phone (612) 543-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2779MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Eye Clinic LLC Optometrist CurrentSince Mar 25, 2022 Accepting new patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince Sep 23, 2025 Accepting new patients
Eagan Eye Clinic LLC Optometrist CurrentSince Mar 25, 2022 Accepting new patients
Hennepin County CurrentSince Sep 23, 2025 Accepting new patients
Visionworks Inc Past Accepting new patients
Hennepin County Past Accepting new patients

Locations

2220 Plymouth Ave N
Minneapolis, MN 55411
Phone (612) 543-2500

225 SE Main St
Minneapolis, MN 55414
Phone (612) 379-1555

1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600

3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661

Organizations & group practices 8

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1528049459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023828",
            "telephone_number": "651-758-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023828",
            "telephone_number": "651-758-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "SARAH",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998103900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.