Individual provider Active NPI

Sarah Marie Abbott, OD

  • Optometrist
  • Park Ridge, IL
National Provider Identifier
1881333565
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011615 Issued in IL
Practice address
528 Devon Ave
Park Ridge, IL 60068-4820
Phone
(847) 518-0303
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011615 IL Primary

Addresses

Primary practice location

528 Devon Ave
Park Ridge, IL 60068-4820

Mailing address

4831 W 121St PL
Alsip, IL 60803-2943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220716000138 IL Practitioner - Optometry 2961883350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boyce Family Eye Care, LTD.Group PAC ID 4183810781, 2 clinicians

Practice addresses (Care Compare)

528 Devon Ave
Park Ridge, IL 60068-4820
Phone (847) 518-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011615ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyce Family Eye Care, LTD. Optometrist CurrentSince Jun 20, 2022 Accepting new patients

Locations

528 Devon Ave
Park Ridge, IL 60068
Phone (847) 518-0303

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1881333565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 W 121ST PL",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608032943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684820",
            "telephone_number": "847-518-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.