Individual provider Active NPI

Sean Sarazen, O.D.

  • Optometrist
  • Wausau, WI
National Provider Identifier
1790217503
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3465-35 Issued in WI
Practice address
2727 Plaza Dr
Wausau, WI 54401-4129
Phone
(715) 841-4950
NPI assigned
Mar 30, 2017
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3465-35 WI Primary

Addresses

Primary practice location

2727 Plaza Dr
Wausau, WI 54401-4129

Mailing address

223407 Magnolia Ave
Wausau, WI 54401-6637
Phone (715) 571-5697

Other practice location 1

1207 O Day St
Merrill, WI 54452-3416
Phone (715) 539-9990

Other practice location 2

409 N Chestnut Ave
Marshfield, WI 54449-2000
Phone (715) 387-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170826000165 WI Practitioner - Optometry 0345512257 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

174 Crossroads Dr
Plover, WI 54467-4122
Phone (715) 342-9634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3465-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Aug 22, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Aug 22, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 7, 2017 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

717 S Central Ave
Marshfield, WI 54449
Phone (715) 387-8608

1640 Appleton Rd
Menasha, WI 54952
Phone (920) 725-3752

1207 O Day St
Merrill, WI 54452
Phone (715) 536-2535

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

174 Crossroads Dr
Plover, WI 54467
Phone (715) 342-9634

316 Division St
Stevens Point, WI 54481
Phone (715) 344-5355

101 N Western Ave
Ste 101
Waupaca, WI 54981
Phone (534) 400-2068

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

4551 8th St S
Ste 102
Wisconsin Rapids, WI 54494
Phone (715) 423-1340

Organizations & group practices 7

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1790217503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223407 MAGNOLIA AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544016637",
            "telephone_number": "715-571-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PLAZA DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014129",
            "telephone_number": "715-841-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 O Day St",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544523416",
            "country_code": "US",
            "telephone_number": "715-539-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 N Chestnut Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544492000",
            "country_code": "US",
            "telephone_number": "715-387-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAZEN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "WI",
            "license": "3465-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.