Sarah Baer, OD
Individual provider Active NPI Optometrist · Minneapolis, MN
NPI 1972855211 · NPPES record last updated Dec 18, 2018
Key facts
- NPI
- 1972855211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3491 (MN)
- Practice address
- 701 25TH Ave S
Minneapolis, MN 55454-1513 - Phone
- (612) 365-6777
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3491 | MN | MD | Optometrist |
| 826 | NV | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 826 | NV | |
| Optometrist | 152W00000X | 3491 | MN | Yes |
Addresses
Primary practice location
701 25TH Ave S
Minneapolis, MN 55454-1513
Mailing address
701 25TH Ave S
Minneapolis, MN 55454-1513
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.