Individual provider Active NPI

Sarah Elizabeth Blatchford, O.D.

  • Optometrist
  • Roscoe, IL
National Provider Identifier
1609887645
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009012 Issued in IL
Practice address
4906 Hononegah Rd
Roscoe, IL 61073-7778
Phone
(815) 623-3937
Fax
(815) 623-8298
NPI assigned
Aug 11, 2006
Last updated
Jun 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009012 IL Primary

Addresses

Primary practice location

4906 Hononegah Rd
Roscoe, IL 61073-7778

Mailing address

4906 Hononegah Rd
Roscoe, IL 61073-7778
Phone (815) 623-3937

Other names 1

  • Sarah Elizabeth Grover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060417000146 IL Practitioner - Optometry 5395754535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hour Eye Care LLCGroup PAC ID 2961412184, 2 clinicians

Practice addresses (Care Compare)

5003 Hononegah Rd
Suite 1
Roscoe, IL 61073-8645
Phone (815) 623-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009012ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hour Eye Care, LLC Optometrist CurrentSince Apr 1, 2006 Accepting new patients

Locations

4906 Hononegah Rd
Roscoe, IL 61073
Phone (815) 623-3937

5003 Hononegah Rd
Ste 1
Roscoe, IL 61073
Phone (815) 544-9865

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1609887645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737778",
            "telephone_number": "815-623-3937",
            "fax_number": "815-623-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737778",
            "telephone_number": "815-623-3937",
            "fax_number": "815-623-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATCHFORD",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GROVER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roscoe, IL

Sources for this page

Verify at the official NPI Registry.