Individual provider Active NPI

Sara Anne Edmons, OD

  • Optometrist
  • Spokane, WA
National Provider Identifier
1750459475
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003549 Issued in WA
Practice address
9911 N Nevada St Ste B
Spokane, WA 99218-1298
Phone
(509) 484-5710
Fax
(509) 487-1000
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003549 WA Primary

Addresses

Primary practice location

9911 N Nevada St Ste B
Spokane, WA 99218-1298

Mailing address

9911 N Nevada St Ste B
Spokane, WA 99218-1298
Phone (509) 484-5710

Other identifiers 1

IdentifierTypeStateIssuer
2031797MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20051013000281 WA Practitioner - Optometry 7517982051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants, P.S.Group PAC ID 8628143492, 6 clinicians

Practice addresses (Care Compare)

9911 N Nevada St
Suite B
Spokane, WA 99218-1298
Phone (509) 484-5710

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
91.67
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants, P.S. CurrentSince Aug 1, 2008 Accepting new patients
Eye Consultants PS Past Accepting new patients

Locations

235 E Rowan Ave
Ste 107
Spokane, WA 99207
Phone (509) 252-6446

9911 N Nevada St
Ste B
Spokane, WA 99218
Phone (509) 484-5710

15106 E Sprague Ave
Spokane Valley, WA 99037
Phone (509) 484-5710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1750459475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 N NEVADA ST STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181298",
            "telephone_number": "509-484-5710",
            "fax_number": "509-487-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 N NEVADA ST STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181298",
            "telephone_number": "509-484-5710",
            "fax_number": "509-487-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONS",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031797",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.