Active NPI
Sarah A Tsagris, O.D.
- Optometrist
- Valparaiso, IN
National Provider Identifier
1659348407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003308A
- Practice address
- 2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000 - Phone
- (219) 462-0309
- Fax
- (219) 464-4291
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003308A | IN | Primary |
Addresses
Primary practice location
2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000
Mailing address
2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000
Phone (219) 462-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200482910B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Washington St
Valparaiso, IN 46383-4778
Phone (219) 286-7007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003308A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Optix LLC | Optometrist | Current | Accepting new patients |
| 21 North Kids LLC | Optometrist | Current | Accepting new patients |
Locations
21 Washington St
Valparaiso, IN 46383
Phone (219) 286-7007
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.
-
- Optometrist
- Valparaiso, IN
- NPI 1689917957
-
- Optometrist
- Valparaiso, IN
- NPI 1811744626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1659348407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 BURLINGTON BEACH RD.",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830000",
"telephone_number": "219-462-0309",
"fax_number": "219-464-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 BURLINGTON BEACH RD.",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463830000",
"telephone_number": "219-462-0309",
"fax_number": "219-464-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAGRIS",
"first_name": "SARAH",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003308A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200482910B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.