Individual provider Active NPI

Sarah Cook, O.D.

  • Optometrist
  • Sapulpa, OK
National Provider Identifier
1710330139
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2880 Issued in OK
Practice address
1029 E Taft Ave
Sapulpa, OK 74066-4570
Phone
(918) 227-3937
Fax
(888) 972-5679
NPI assigned
Jul 20, 2016
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2880 OK Primary

Addresses

Primary practice location

1029 E Taft Ave
Sapulpa, OK 74066-4570

Mailing address

1029 E Taft Ave
Sapulpa, OK 74066-4570
Phone (918) 227-3937

Other identifiers 1

IdentifierTypeStateIssuer
200656240 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160812000609 OK Practitioner - Optometry 9335433424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hubertina J M Hagen OD Inc PCGroup PAC ID 6608957550, 2 clinicians

Practice addresses (Care Compare)

1029 E Taft Ave
Sapulpa, OK 74066-4570
Phone (918) 227-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hubertina J M Hagen OD Inc PC Optometrist CurrentSince Jul 20, 2016 Accepting new patients

Locations

1029 E Taft Ave
Sapulpa, OK 74066
Phone (918) 227-3937

Interoperability endpoints

  • Direct secure messaging: sarah.cook@e2eok.direct.eyemdemr.com

Organizations & group practices 1

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1710330139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664570",
            "telephone_number": "918-227-3937",
            "fax_number": "888-972-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E TAFT AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664570",
            "telephone_number": "918-227-3937",
            "fax_number": "888-972-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2023-07-07",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200656240 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

Verify at the official NPI Registry.