Sarah Declarke

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005439 Issued in MI

Practice address

915 W Green St
Hastings, MI 49058-1723

Phone

(269) 945-3866

Fax

(269) 945-9388

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.03 of 100Reported as group

Quality

85.46

Promoting interoperability

100

Improvement activities

40

Cost

31.32

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sarah.declarke.p1@direct.grophthalmology.nextgenshare.com

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.

• Blue Sky Vision Eye Care, P.C

  dba Grand Rapids Ophthalmology

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202

  Optometrist

  Medicare reassignment Care Compare group NPD
• Thornapple Ophthalmology Assoc PC

  dba Advanced Eyecare Professionals

  • Ophthalmology Physician
  • Hastings, MI
  • NPI 1396832937

  Optometrist

  Medicare reassignment NPD
• Blue Sky Vision Eye Care, PC

  dba Tukel Eye Center

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  NPD
• Pennock Hospital

  dba Specialist Group

  • Internal Medicine Physician
  • Hastings, MI
  • NPI 1750500435
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1679189989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581723",
            "telephone_number": "269-945-3866",
            "fax_number": "269-945-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581723",
            "telephone_number": "269-945-3866",
            "fax_number": "269-945-9388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 E Bluewater Hwy",
            "address_purpose": "LOCATION",
            "city": "Ionia",
            "state": "MI",
            "postal_code": "488468725",
            "country_code": "US",
            "telephone_number": "616-522-1000",
            "fax_number": "269-945-9388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1335 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MI",
            "postal_code": "493311555",
            "country_code": "US",
            "telephone_number": "616-522-1000",
            "fax_number": "269-945-9388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECLARKE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Lee D'Angelo
• David John Dargis, DO
• David W Mansky DPM, PC
• Norman Davidson, P.A.
• Cody Davis, B.S.; QIDP
• Oscar Degoa, MD
• Diane Denny
• Donald Desano
• Paul Theodore Dewitt Jr., MD
• Barbara Andrea Diaz Hernandez, MD

• Optometrist in Hastings, MI
• Providers in Hastings, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.

Verify at the official NPI Registry.