Organization Active NPI

Sarah P. Brannon OD PC

Doing business as Chancellor Eye Care

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1669482600
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000074 Issued in VA
Legal business name
SARAH P. BRANNON OD PC
Doing business as
Chancellor Eye Care
Practice address
12100 Kennedy Lane
Suite 206
Fredericksburg, VA 22407
Phone
(540) 785-3937
Fax
(540) 785-5498
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Dr. Sarah Pilat Brannon, ODNPI 1023098688
Title
President/Optometrist
Phone
(540) 785-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000074 VA Primary

Addresses

Primary practice location

12100 Kennedy Lane
Suite 206
Fredericksburg, VA 22407

Mailing address

12100 Kennedy Lane
Suite 206
Fredericksburg, VA 22407
Phone (540) 785-3937

Other identifiers 9

IdentifierTypeStateIssuer
170333OtherVAAVESIS PROVIDER
410048278OtherVAMEDICARE RAILROAD
5161390001OtherVADMES/ MEDICARE SUPPLIES
902137OtherVABLOCK PROVIDER
4091903OtherVAAETNA PROVIDER
452927OtherVAANTHEM BC/BS PROVIDER
32467OtherVAMAMSI /UNITED HEALTHCARE
09235591MedicaidVA
2150133OtherVAFIRST HEALTH/MAILHANDLERS

Other names 2

  • CHANCELLOR EYE CARE Doing business as
  • William R Kossol OD PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000064 VA Part B Supplier - Clinic/Group Practice 5597715490 Receives reassigned benefits from 3 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

12100 Kennedy Ln
Fredericksburg, VA 22407
Phone (540) 785-5498

12100 Kennedy Ln
Ste 206
Fredericksburg, VA 22407
Phone (540) 785-3937

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1669482600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 KENNEDY LANE",
            "address_2": "SUITE 206",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-785-3937",
            "fax_number": "540-785-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 KENNEDY LANE",
            "address_2": "SUITE 206",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22407",
            "telephone_number": "540-785-3937",
            "fax_number": "540-785-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH P. BRANNON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PILAT",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "540-785-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS PROVIDER",
            "identifier": "170333",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410048278",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMES/ MEDICARE SUPPLIES",
            "identifier": "5161390001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK PROVIDER",
            "identifier": "902137",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER",
            "identifier": "4091903",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER",
            "identifier": "452927",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI /UNITED HEALTHCARE",
            "identifier": "32467",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09235591",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/MAILHANDLERS",
            "identifier": "2150133",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANCELLOR EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHANCELLOR EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "William R Kossol OD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "William R Kossol OD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.