Individual provider Active NPI

Sarah Rohr, OD

  • Optometrist
  • Erie, CO
National Provider Identifier
1790208239
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3448 Issued in CO
Practice address
615 Mitchell Way Ste 103
Erie, CO 80516
Phone
(303) 828-1512
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3413 TN
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3448 CO Primary

Addresses

Primary practice location

615 Mitchell Way Ste 103
Erie, CO 80516

Mailing address

615 Mitchell Way Ste 103
Erie, CO 80516-5438

Other practice location 1

650 New York St
Memphis, TN 38104-5536
Phone (901) 728-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190821004047 CO Practitioner - Optometry 2769710250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Vision Care IncGroup PAC ID 5698899482, 3 clinicians

Practice addresses (Care Compare)

615 Mitchell Way
Suite 103
Erie, CO 80516-5438

619 Mitchell Way
Erie, CO 80516-5436
Phone (303) 828-1512

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3413TNMDPsychologist
3448COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Vision Care Inc Optometrist CurrentSince Jul 1, 2019 Accepting new patients

Locations

619 Mitchell Way
Erie, CO 80516
Phone (303) 828-1512

615 Mitchell Way
Ste 103
Erie, CO 80516
Phone (303) 828-1512

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1790208239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MITCHELL WAY STE 103",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MITCHELL WAY STE 103",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "303-828-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 New York St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381045536",
            "country_code": "US",
            "telephone_number": "901-728-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHR",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3413",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.