Individual provider Active NPI

Sara Ellen Schmitz, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1962488924
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005019940 Issued in MO
Practice address
2533 Woodson Rd
Saint Louis, MO 63114-5436
Phone
(314) 423-3874
Fax
(314) 423-2872
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005019940 MO Primary

Addresses

Primary practice location

2533 Woodson Rd
Saint Louis, MO 63114-5436

Mailing address

2533 Woodson Rd
Saint Louis, MO 63114-5436
Phone (314) 423-3874

Other identifiers 2

IdentifierTypeStateIssuer
11488946OtherCAQH
2005019940OtherMOMISSOURI LICENSE

Other names 1

  • Dr. Sara Ellen Martin Former name

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
I20051027000069 MO Practitioner - Optometry 9032136296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overland Optical, Inc.Group PAC ID 4284616814, 3 clinicians

Practice addresses (Care Compare)

2533 Woodson Rd
Overland, MO 63114-5436
Phone (314) 423-3874

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Optical, Inc. CurrentSince Jul 1, 2007 Accepting new patients
Denise M. Harvey Dba Advanced Eyecare Optometrist PastSince Nov 24, 2024 Accepting new patients
Overland Optical, Inc PastSince Jan 10, 2021 Accepting new patients

Locations

1529 S Old Highway 94
Ste 120
Saint Charles, MO 63303
Phone (636) 949-2900

2533 Woodson Rd
Saint Louis, MO 63114
Phone (314) 423-3874

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1962488924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 WOODSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145436",
            "telephone_number": "314-423-3874",
            "fax_number": "314-423-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 WOODSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145436",
            "telephone_number": "314-423-3874",
            "fax_number": "314-423-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "SARA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005019940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11488946",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2005019940",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MARTIN",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.