Sarah Gliniecki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT006548 Issued in OH

Practice address

1684 Venture Dr
Mount Vernon, OH 43050-8950

Phone

(740) 393-6010

NPI assigned

Nov 20, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bruch Eyecare and Associates IncGroup PAC ID 3870712961, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bruch Eyecare & Associates, Inc.

  • Optometrist
  • Marion, OH
  • NPI 1720382096
  Medicare reassignment Care Compare group NPD
• Primary Vision Care of Mount Vernon Inc

  • Optometrist
  • Mount Vernon, OH
  • NPI 1801329180
  Medicare reassignment NPD
• Primary Vision Care of Mount Vernon Inc

  dba Primary Vision Care

  • Optometrist
  • Waynesville, OH
  • NPI 1194340943
  NPD

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

{
    "created_epoch": "1479600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902349137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MILLSON DR",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430748448",
            "telephone_number": "810-300-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 VENTURE DR",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508950",
            "telephone_number": "740-393-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 W Ganson St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492024240",
            "country_code": "US",
            "telephone_number": "517-782-4936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLINIECKI",
        "first_name": "SARAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004979",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT006548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Gifford
• Lindsey Gilkey, APRN
• Stacy Gilley, LISW
• Cara M Glaze, LSW
• Kimberly Lynette Glenn, CNP
• Rusti Goines
• Jaime T Goodman, M.D.
• Jeffrey N Goodman
• James T. Goodrich, M.D.
• Leah Beth Goodrich

• Optometrist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.