Active NPI
Sarah Jeanne Jerome, OD
- Optometrist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 998103900 | Medicaid | MN |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2779 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Hennepin County | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Hennepin County | Current | 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.
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- Psychiatry Physician
- Minneapolis, MN
- NPI 1780790345
-
- Optometrist
- Eagan, MN
- NPI 1477732337
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1851300149
-
- Optometrist
- Becker, MN
- NPI 1023615069
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1215951751
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1962147413
-
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1205145448
-
- Eyewear Supplier
- Omaha, NE
- NPI 1205924792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.