Individual provider Active NPI

Sarah Padrnos, O.D.

  • Optometrist
  • Flagstaff, AZ
National Provider Identifier
1790184604
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2018 Issued in AZ
Practice address
1505 S Yale St
Flagstaff, AZ 86001-6330
Phone
(928) 779-5600
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2018 AZ Primary

Addresses

Primary practice location

1505 S Yale St
Flagstaff, AZ 86001-6330

Mailing address

1505 S Yale St
Flagstaff, AZ 86001-6330
Phone (928) 779-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20141218002185 AZ Practitioner - Optometry 3173846367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Padrnos OD PCGroup PAC ID 7315834785, 2 clinicians

Practice addresses (Care Compare)

1505 S Yale St
Flagstaff, AZ 86001-6562
Phone (928) 779-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Padrnos O.D. P.C. Optometrist CurrentSince Aug 15, 2014 Accepting new patients
Patrick Padrnos O.D. P.C. Optometrist CurrentSince Aug 15, 2014 Accepting new patients

Locations

1505 S Yale St
Flagstaff, AZ 86001
Phone (928) 779-5600

300 N Beeline Hwy
Payson, AZ 85541
Phone (928) 472-2826

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1790184604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S YALE ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016330",
            "telephone_number": "928-779-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S YALE ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016330",
            "telephone_number": "928-779-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRNOS",
        "first_name": "SARAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.