Individual provider Active NPI

Sara Daniele Madden, O.D.

  • Optometrist
  • Glenpool, OK
National Provider Identifier
1851776736
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2859 Issued in OK
Practice address
247 E 141St St
Glenpool, OK 74033-3583
Phone
(918) 291-1222
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2859 OK Primary

Addresses

Primary practice location

247 E 141St St
Glenpool, OK 74033-3583

Mailing address

247 E 141St St
Glenpool, OK 74033-3583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20151016000086 OK Practitioner - Optometry 1658680590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Purcell Eye ClinicGroup PAC ID 2567746555, 2 clinicians

Practice addresses (Care Compare)

1711 N Green Ave
Purcell, OK 73080-1731
Phone (405) 527-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2859OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Purcell Eye Clinic Optometrist CurrentSince May 2, 2017 Accepting new patients

Locations

1711 N Green Ave
Purcell, OK 73080
Phone (405) 527-2020

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, 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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1851776736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E 141ST ST",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E 141ST ST",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333583",
            "telephone_number": "918-291-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "SARA",
        "middle_name": "DANIELE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenpool, OK

Sources for this page

Verify at the official NPI Registry.