Active NPI
Sarah Bruno O.D.P.C.
- Optometrist
- Chadds Ford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001785
- Legal business name
- SARAH BRUNO O.D.P.C.
- Practice address
- 98 Wilmington W Chester Pike
Suite102
Chadds Ford, PA 19317-9010 - Phone
- (610) 459-2020
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah M Bruno, O.D.
- Title
- Owner/Optometrist
- Phone
- (610) 459-2020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001785 | PA | Primary |
Addresses
Primary practice location
98 Wilmington W Chester Pike
Suite102
Chadds Ford, PA 19317-9010
Mailing address
4 Thistle LN
Media, PA 19063-5627
Phone (215) 840-9705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YDK6 | Other | PA | MEDICARE GROUP SUFFIX |
| 3816083000 | Other | PA | PERSONAL CHOICE / KEYSTONE HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
98 Wilmington W Chester Pike
Ste 102
Chadds Ford, PA 19317
Phone (610) 459-2020
1111 Smithbridge Rd
Ste 1
Glen Mills, PA 19342
Phone (610) 459-2020
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Glen Mills, PA
- NPI 1265446462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413504000000",
"number": "1710289673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 THISTLE LN",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635627",
"telephone_number": "215-840-9705",
"fax_number": "610-558-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 WILMINGTON W CHESTER PIKE",
"address_2": "SUITE102",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "193179010",
"telephone_number": "610-459-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH BRUNO O.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2014-10-17",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "610-459-2020",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP SUFFIX",
"identifier": "YDK6",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE / KEYSTONE HEALTH PLAN",
"identifier": "3816083000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chadds Ford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.