Individual provider Active NPI

Sara M Pyatt, O.D.

  • Optometrist
  • Potosi, MO
National Provider Identifier
1942462965
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008017062 Issued in MO
Practice address
307 N Missouri St
Potosi, MO 63664-1747
Phone
(573) 438-3415
Fax
(573) 438-7667
NPI assigned
Jun 30, 2008
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2008017062 MO Primary

Addresses

Primary practice location

307 N Missouri St
Potosi, MO 63664-1747

Mailing address

PO Box 64
Potosi, MO 63664-0064
Phone (314) 607-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080909000137 MO Practitioner - Optometry 5092881458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

307 N Missouri St
Potosi, MO 63664-1747
Phone (573) 438-3415

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pyatt Eye Care LLC Optometrist CurrentSince Oct 1, 2008 Accepting new patients
Desoto Vision Care LLC Optometrist PastSince Oct 20, 2024 Accepting new patients
De Soto Eye Care LLC Optometrist PastSince Jun 16, 2008 Accepting new patients

Locations

307 N Missouri St
Potosi, MO 63664
Phone (573) 438-3415

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1942462965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636640064",
            "telephone_number": "314-607-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MISSOURI ST",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641747",
            "telephone_number": "573-438-3415",
            "fax_number": "573-438-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYATT",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

Verify at the official NPI Registry.