Individual provider Active NPI

Sara Brigman, OD

  • Optometrist
  • Wilmington, NC
National Provider Identifier
1710970165
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1941 Issued in NC
Practice address
3901 Oleander Dr
Wilmington, NC 28403-6733
Phone
(910) 395-2772
Fax
(910) 794-4131
NPI assigned
Aug 31, 2005
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1941 NC Primary

Addresses

Primary practice location

3901 Oleander Dr
Wilmington, NC 28403-6733

Mailing address

3901 Oleander Dr
Wilmington, NC 28403-6733
Phone (910) 395-2772

Other identifiers 2

IdentifierTypeStateIssuer
093RTOtherNCBCBSNC PIN
89093RTMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041115000092 NC Practitioner - Optometry 1658335260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Vision Center OD PLLCGroup PAC ID 2567878796, 3 clinicians

Practice addresses (Care Compare)

3910 Shipyard Blvd
Wilmington, NC 28403-6151
Phone (910) 799-0220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1941NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Vision Center OD PLLC Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Eyecarecenter OD PA Optometrist PastSince May 3, 2010 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist PastSince Aug 4, 2008 Accepting new patients
S&S Optometric Services PLLC Optometrist PastSince May 22, 2013 Accepting new patients

Locations

3910 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 799-0220

Organizations & group practices 4

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1710970165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036733",
            "telephone_number": "910-395-2772",
            "fax_number": "910-794-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036733",
            "telephone_number": "910-395-2772",
            "fax_number": "910-794-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGMAN",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PIN",
            "identifier": "093RT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093RT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.