Active NPI
Sarah Lynn Budnick, O.D.
- Optometrist
- Saint Johns, MI
National Provider Identifier
1821301953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004587
- Practice address
- 1165 Superior Dr
Saint Johns, MI 48879-8234 - Phone
- (989) 224-9737
- Fax
- (989) 224-9739
- NPI assigned
- Jul 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004587 | MI | Primary |
Addresses
Primary practice location
1165 Superior Dr
Saint Johns, MI 48879-8234
Mailing address
1200 Jackson Dr
Owosso, MI 48867-1990
Phone (989) 255-0740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004587 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279411200000",
"number": "1821301953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 JACKSON DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488671990",
"telephone_number": "989-255-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 SUPERIOR DR",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488798234",
"telephone_number": "989-224-9737",
"fax_number": "989-224-9739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDNICK",
"first_name": "SARAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-18",
"last_updated": "2010-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.