Individual provider Active NPI

Sarah Avera Thrower, OD

  • Optometrist
  • Holly Springs, MS
National Provider Identifier
1780363580
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1070PY Issued in MS
Practice address
640 J M Ash Dr
Holly Springs, MS 38635-3401
Phone
(662) 252-3323
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 1070PY MS Primary

Addresses

Primary practice location

640 J M Ash Dr
Holly Springs, MS 38635-3401

Mailing address

640 J M Ash Dr
Holly Springs, MS 38635-3401

Other practice location 1

106 E Main St
Senatobia, MS 38668-2138
Phone (662) 562-5500

Other names 1

  • Sarah Katlyn Avera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230814004022 MS Practitioner - Optometry 4688036296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holly Springs Eyecare PLLCGroup PAC ID 2668472374, 5 clinicians

Practice addresses (Care Compare)

640 J M Ash Dr
Holly Springs, MS 38635-3401
Phone (662) 252-3323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1070PYMSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Springs Eyecare PLLC Optometrist CurrentSince Jul 18, 2023 Accepting new patients
Holly Springs Eyecare PLLC Optometrist CurrentSince Jul 18, 2023 Accepting new patients
Holly Springs Eyecare PLLC Optometrist Current Accepting new patients

Locations

124 W Commerce St
Hernando, MS 38632
Phone (662) 429-5221

640 J M Ash Dr
Holly Springs, MS 38635
Phone (662) 252-3323

106 E Main St
Senatobia, MS 38668
Phone (662) 562-5500

3045 Highway 51 S
Senatobia, MS 38668
Phone (662) 562-5500

Organizations & group practices 3

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1780363580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353401",
            "telephone_number": "662-252-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Main St",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682138",
            "country_code": "US",
            "telephone_number": "662-562-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THROWER",
        "first_name": "SARAH",
        "middle_name": "AVERA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1070PY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "AVERA",
            "middle_name": "KATLYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Springs, MS

Sources for this page

Verify at the official NPI Registry.