Individual provider Active NPI

Sarah C Parker, O.D.

  • Optometrist
  • Princeton, KY
National Provider Identifier
1861489460
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1339-DT Issued in KY
Practice address
101 E Shepardson St
Princeton, KY 42445-1633
Phone
(270) 365-6627
Fax
(270) 365-7700
NPI assigned
Sep 29, 2005
Last updated
Oct 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1339-DT KY Primary

Addresses

Primary practice location

101 E Shepardson St
Princeton, KY 42445-1633

Mailing address

PO Box 683
Princeton, KY 42445-0683
Phone (270) 365-6627

Other identifiers 1

IdentifierTypeStateIssuer
77013399MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070809000431 KY Practitioner - Optometry 5294826962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

258 Lakota Dr
Cadiz, KY 42211-6137
Phone (270) 206-9067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1339KYMDClinical Social Worker
1339-DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Eye Care, PLLC Optometrist CurrentSince Mar 30, 2015 Accepting new patients
J Martin Lane Eyecare Center Optometrist PastSince Jul 17, 2022 Accepting new patients
The Ophthalmology Group, LLC Optometrist Past Accepting new patients

Locations

258 Lakota Dr
Cadiz, KY 42211
Phone (270) 206-9067

Interoperability endpoints

  • Direct secure messaging: skparker.keca@direct.ocuhub.com

Organizations & group practices 3

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1861489460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424450683",
            "telephone_number": "270-365-6627",
            "fax_number": "270-365-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SHEPARDSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451633",
            "telephone_number": "270-365-6627",
            "fax_number": "270-365-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SARAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1339-DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013399",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, KY

Sources for this page

Verify at the official NPI Registry.