Robert David Sacks, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G64460 Issued in CA

Practice address

1125 S Beverly Dr
Suite 710
Los Angeles, CA 90035-1148

Phone

(310) 275-6179

Fax

(310) 278-7592

NPI assigned

Jan 25, 2007

Last updated

Mar 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of California, Geffen School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Eye Medical Center IncGroup PAC ID 2567351000, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.07 of 100Reported as individual

Quality

99.4

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• California Eye Medical Center Inc

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1457570871
  Medicare reassignment Care Compare group NPD Authorized official
• Sacks Optical Boutique, LLC

  • Eyewear Supplier
  • Los Angeles, CA
  • NPI 1942537089
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1568518637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-275-6179",
            "fax_number": "310-278-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR",
            "address_2": "SUITE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351148",
            "telephone_number": "310-275-6179",
            "fax_number": "310-278-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G64460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G644600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conrad J. Sack, D.M.D., M.S.
• Jonathan Sack, MD
• Jana Lauren Sackett, PMHNP-BC
• Jason Sackett, LCSW
• Sacks Optical Boutique, LLC
• Sandra Hsu Sacks, M.D.
• Stephen Sacks, MD
• Wendy Sacks, M.D.
• Arianne D Sacramento
• Wendell Sacramento

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.