Individual provider Active NPI

Ravinder S Sabherwal, O.D.

  • Optometrist
  • Erie, PA
National Provider Identifier
1609840024
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000611 Issued in PA
Practice address
2640 Zuck Rd
Erie, PA 16506-3151
Phone
(814) 838-9555
Fax
(814) 835-7776
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000611 PA Primary

Addresses

Primary practice location

2640 Zuck Rd
Erie, PA 16506-3151

Mailing address

2640 Zuck Rd
Erie, PA 16506-3151
Phone (814) 838-9555

Other identifiers 1

IdentifierTypeStateIssuer
0010530090003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080828000248 PA Practitioner - Optometry 5799851770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard M Levin MD IncGroup PAC ID 5395819239, 5 clinicians

Practice addresses (Care Compare)

2640 Zuck Rd
Erie, PA 16506-3151
Phone (814) 838-9555

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
93.2
Improvement activities
40
Cost
72.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000611PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent M Imbrogno DO Inc Optometrist CurrentSince Aug 1, 2008 Accepting new patients
Visual Options Optometrist Past Accepting new patients

Locations

2640 Zuck Rd
Erie, PA 16506
Phone (814) 838-9555

Interoperability endpoints

  • Direct secure messaging: ravinder.sabherwal@direct.coe.nextgenshare.com

Organizations & group practices 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1609840024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063151",
            "telephone_number": "814-838-9555",
            "fax_number": "814-835-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063151",
            "telephone_number": "814-838-9555",
            "fax_number": "814-835-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABHERWAL",
        "first_name": "RAVINDER",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010530090003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.