Sarah Jo Bricker, O.D.
Individual provider Active NPI Optometrist · Munfordville, KY
NPI 1609286038 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1609286038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1971DT (KY)
- Practice address
- 815 Main St.
Munfordville, KY 42765-0507 - Phone
- (270) 524-5444
- Fax
- (270) 524-4600
- NPI assigned
- May 7, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Louisville Optometric Centers III, PSC
Practice addresses (Care Compare)
815 Main St
Munfordville, KY 42765-9423
Phone (270) 524-5444
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150115002332 | KY | Practitioner - Optometry | 3779807938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Optometric Centers III, PSC | Current |
Accepting new patients | |
| Louisville Optometric Centers III, PSC | Optometrist | Current |
Accepting new patients |
| Louisville Optometric Centers, III PSC | Optometrist | Past | Accepting new patients |
Locations
2525 Elizabethtown Rd
Leitchfield, KY 42754
Phone (270) 259-2020
285 N Hubbards Ln
Ste 300
Louisville, KY 40207
Phone (502) 454-9122
4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004
815 Main St
#507
Munfordville, KY 42765
815 Main St
Munfordville, KY 42765
Phone (270) 524-5444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1971DT | KY | Yes |
Addresses
Primary practice location
815 Main St.
Munfordville, KY 42765-0507
Mailing address
815 Main St.
Munfordville, KY 42765-0507
Phone (270) 524-5444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000542753 | Other | KY | ANTHEM |
| 7100010580 | Medicaid | KY | |
| 1971DT | Other | KY | KY LICENSE |
Other providers in Munfordville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.