Individual provider Active NPI

Ausra Elena Saxton, O.D.

  • Optometrist
  • Suffolk, VA
National Provider Identifier
1578946232
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002472 Issued in VA
Practice address
3575 Bridge Rd Ste 21
Suffolk, VA 23435-1845
Phone
(757) 638-2015
Fax
(757) 638-2010
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002472 VA Primary

Addresses

Primary practice location

3575 Bridge Rd Ste 21
Suffolk, VA 23435-1845

Mailing address

3575 Bridge Rd Ste 21
Suffolk, VA 23435-1845
Phone (757) 638-2015

Other practice location 1

1601 SW Archer Rd
Gainesville, FL 32608-1135
Phone (352) 271-5967

Other identifiers 1

IdentifierTypeStateIssuer
1578946232MedicaidVA

Other names 1

  • Ausra Clifford Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200706003205 TX Practitioner - Optometry 3870884075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0618002472VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vision Care Optometrist CurrentSince Jun 5, 2020 Accepting new patients

Locations

5866 E Sam Houston Pkwy N
Ste B
Houston, TX 77049
Phone (281) 436-1757

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578946232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 21",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351845",
            "telephone_number": "757-638-2015",
            "fax_number": "757-638-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 21",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351845",
            "telephone_number": "757-638-2015",
            "fax_number": "757-638-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081135",
            "country_code": "US",
            "telephone_number": "352-271-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXTON",
        "first_name": "AUSRA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578946232",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSRA",
            "last_name": "CLIFFORD",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.