Individual provider Active NPI

Sarah A Tsagris, O.D.

  • Optometrist
  • Valparaiso, IN
National Provider Identifier
1659348407
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003308A Issued in IN
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

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200482910BMedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000096 IN Practitioner - Optometry 5799753927 Reassigns benefits to 2 organizations

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
Advanced Optix LLCGroup PAC ID 5193959344, 3 clinicians

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

LicenseStateTypeSpecialty
18003308AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Optix LLC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
21 North Kids LLC Optometrist CurrentSince Aug 1, 2024 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.

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

Verify at the official NPI Registry.