Sara Mabie OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2593 Issued in MN

Legal business name

SARA MABIE OD PA

Practice address

1189 Geneva Ave N
Oakdale, MN 55128-5746

Phone

(651) 702-2504

Fax

(651) 702-2504

NPI assigned

Nov 20, 2006

Last updated

Dec 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sara A Mabie, ODNPI 1467624643

Title

Doctor of Optometry

Phone

(651) 436-3763

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Ann Mabie, OD

  • Optometrist
  • Oakdale, MN
  • NPI 1467624643
  Medicare reassignment Authorized official
• Nicola E Griffin, ABOC

  • Optician
  • Oakdale, MN
  • NPI 1881986875
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1831263060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 GENEVA AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285746",
            "telephone_number": "651-702-2504",
            "fax_number": "651-731-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 GENEVA AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285746",
            "telephone_number": "651-702-2504",
            "fax_number": "651-702-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA MABIE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "MABIE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "651-436-3763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "637371026225",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718317800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "39G01TA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "84615",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2201213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "964223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "637371016544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ana Sanchez, BS
• Titilayo Adebayo Sanni
• Gabrielle Sawicki
• Cordese Saysay
• Andrea Alescha Scharlatt
• Ana Schildknecht
• John Schipke, LICSW

• Optometrist in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.