Organization Active NPI

Sarah Bruno O.D.P.C.

  • Optometrist
  • Chadds Ford, PA
National Provider Identifier
1710289673
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001785 Issued in PA
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

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Sarah M Bruno, O.D.NPI 1265446462
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
YDK6OtherPAMEDICARE GROUP SUFFIX
3816083000OtherPAPERSONAL CHOICE / KEYSTONE HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000544 PA Part B Supplier - Clinic/Group Practice 2365623204 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Mills, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.