Individual provider Active NPI

Sarah Gallagher Krein, O.D.

  • Optometrist
  • Elizabethtown, KY
National Provider Identifier
1841503919
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1881DT Issued in KY
Practice address
103 Diecks Dr
Elizabethtown, KY 42701-2444
Phone
(270) 769-1397
Fax
(270) 765-4899
NPI assigned
Jul 19, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2652 OK
Optometrist 152W00000X 1881DT KY Primary

Addresses

Primary practice location

103 Diecks Dr
Elizabethtown, KY 42701-2444

Mailing address

103 Diecks Dr
Elizabethtown, KY 42701-2444
Phone (270) 769-1397

Other identifiers 4

IdentifierTypeStateIssuer
12147783OtherCAQH
200302110AMedicaidOK
41039OtherOKOBNDD
OKA101926OtherOKMEDICARE

Other names 1

  • Dr. Sarah E Gallagher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100917000576 TX Practitioner - Optometry 0345365094 Reassigns benefits to 1 organization
I20101209001204 OK Practitioner - Optometry 0345365094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern State University College of OptometryGroup PAC ID 0941112528, 20 clinicians

Practice addresses (Care Compare)

900 N Owen Walters Blvd
Salina, OK 74365-5003
Phone (918) 444-4034

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1881DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
E Town Eyecare PSC Optometrist Current Accepting new patients
Northeastern State University College of Optometry Optometrist CurrentSince Jan 1, 2016 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Dec 28, 2015 Accepting new patients
Hardinsburg Eyecare Center PLLC Optometrist Past Accepting new patients

Locations

103 Diecks Dr
Elizabethtown, KY 42701
Phone (270) 769-1397

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1001 N Grand Ave
Tahlequah, OK 74464
Phone (918) 456-5511

870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 5

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841503919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-769-1397",
            "fax_number": "270-765-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-769-1397",
            "fax_number": "270-765-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIN",
        "first_name": "SARAH",
        "middle_name": "GALLAGHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2652",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1881DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12147783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200302110A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "41039",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OKA101926",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GALLAGHER",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.