Individual provider Active NPI

Jack Sadovnik, O.D.

  • Optometrist
  • Towson, MD
National Provider Identifier
1619097698
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2007 Issued in MD
Practice address
909 Taylor Ave
Towson, MD 21286-8311
Phone
(410) 821-6380
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2007 MD Primary

Addresses

Primary practice location

909 Taylor Ave
Towson, MD 21286-8311

Mailing address

12104 Velvet Hill Dr
Owings Mills, MD 21117-1287
Phone (410) 998-1097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110316000481 MD Practitioner - Optometry 3779765482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102

310 Main St
Reisterstown, MD 21136-1904
Phone (410) 833-5515

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katzen Medical Associates, PC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
National Vision Inc Optometrist Past Accepting new patients

Locations

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

1209 York Rd
Ste 200
Lutherville Timonium, MD 21093
Phone (410) 821-9490

310 Main St
Reisterstown, MD 21136
Phone (410) 833-5515

Interoperability endpoints

  • Direct secure messaging: jack.sadovnikod.p1@direct.katzeneye.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": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1619097698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 VELVET HILL DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171287",
            "telephone_number": "410-998-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TAYLOR AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868311",
            "telephone_number": "410-821-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOVNIK",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.