DR. SARAH ROSE BOARD (O.D) – Optometrist, NPI 1407205610

DR. SARAH ROSE BOARD (O.D) is a healthcare provider. based in Edina, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. 3473 (MN). The NPI Number for DR. SARAH ROSE BOARD (O.D) is 1407205610

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARAH ROSE BOARD (O.D)
NPI
1407205610
Phone
(952) 926-6149
Address
3333 HAZELTON RD
Enumeration Date
8 June 2016
Last Update Date
24 October 2016

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9525628116
Graduation Year
2010 (16 years ago)
PAC ID
4385924059
Group Practice PAC ID
2062537418
Professional Enrollment ID
I20161215000955
Address ID
MN553721501PR14120NEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. SARAH ROSE BOARD (O.D)

  • 3333, Hazelton Road, Promenade, Edina, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554354204

    Phone: (952) 926-6149

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Alcon Vision LLC ($142).

Total Amount

$244

General + Research + Ownership

Payments

11

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161215000955IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062537418View full group profile
NameSpecialtyState
O P T O M E T R YMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SARAH ROSE BOARD (O.D)'s NPI?
Yes. DR. SARAH ROSE BOARD (O.D) is listed with NPI 1407205610 in the public NPI dataset.
Can I rely on DR. SARAH ROSE BOARD (O.D) being an active provider?
As of the registry snapshot, DR. SARAH ROSE BOARD (O.D) is marked active.
What is DR. SARAH ROSE BOARD (O.D)'s primary classification?
Optometrist is the headline specialty for DR. SARAH ROSE BOARD (O.D) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SARAH ROSE BOARD (O.D) on a map?
Expect Edina, Minnesota as a primary anchor for DR. SARAH ROSE BOARD (O.D) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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