Individual provider Active NPI

Sara Elisabeth Pike, O.D.

  • Optometrist
  • Pennsburg, PA
National Provider Identifier
1699705632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001620 Issued in PA
Practice address
430 Pottstown Ave
Pennsburg, PA 18073-1423
Phone
(215) 679-3500
Fax
(215) 679-3096
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001620 PA Primary

Addresses

Primary practice location

430 Pottstown Ave
Pennsburg, PA 18073-1423

Mailing address

430 Pottstown Ave
Pennsburg, PA 18073-1423
Phone (215) 679-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050117000120 PA Practitioner - Optometry 5395794440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare of the Valley P.C.Group PAC ID 7810968518, 7 clinicians

Practice addresses (Care Compare)

1045 Chestnut St
Emmaus, PA 18049-1902
Phone (610) 965-9900

240 Pottstown Ave
Pennsburg, PA 18073-1803
Phone (215) 679-3500

240 Pottstown Ave
Pennsburg, PA 18073-1807

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001620PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare of the Valley P.C. Optometrist CurrentSince Jan 1, 2005 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1045 Chestnut St
Emmaus, PA 18049
Phone (610) 965-9900

240 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-3500

430 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-3500

Interoperability endpoints

  • Direct secure messaging: spike@eyecareofthevalley.eyefinity-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699705632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 POTTSTOWN AVE",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731423",
            "telephone_number": "215-679-3500",
            "fax_number": "215-679-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 POTTSTOWN AVE",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731423",
            "telephone_number": "215-679-3500",
            "fax_number": "215-679-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "SARA",
        "middle_name": "ELISABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsburg, PA

Sources for this page

Verify at the official NPI Registry.