Sarah Jeanne Stuchl, O.D.
Individual provider Active NPI Optometrist · Bowman, ND
NPI 1992057236 · NPPES record last updated Dec 14, 2015
Key facts
- NPI
- 1992057236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ND739 (ND)
- Practice address
- 16 W Divide
Bowman, ND 58623 - Phone
- (701) 523-7707
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16 W Divide
Bowman, ND 58623-4029
Phone (701) 523-7707
Hospital & facility affiliations
- Southwest Healthcare Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 47 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729009100 | ND | Practitioner - Optometry | 4284948696 | Reassigns benefits to 1 organization |
| I20150821013865 | SD | Practitioner - Optometry | 4284948696 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720 | SD | MD | Chiropractor |
| ND739 | ND | MD | Optometrist |
| SD720 | SD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Eye Care Prof LLC | Optometrist | Current |
Accepting new patients |
| Weir Eye Clinic LLC | Optometrist | Past |
Accepting new patients |
Interoperability endpoints
- sarahstuchlod@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | SD720 | SD | |
| Optometrist | 152W00000X | ND739 | ND | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
16 W Divide
Bowman, ND 58623
Mailing address
PO Box 229
Bowman, ND 58623-0229
Phone (701) 523-7707
Other names
- Sarah Jeanne Johnson
Other providers in Bowman, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.