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DR. SARA RAE BETTERLY WALLEN
NPI 1316102643
Optometrist in Prior Lake, MN

Active since July 25, 2008PECOS Enrolled
2330 SIOUX TRL NW, PRIOR LAKE, MN 55372(952) 233-2955 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Sara Rae Betterly Wallen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SARA RAE BETTERLY WALLEN (NPI 1316102643) is an individual optometrist in Prior Lake, Minnesota, licensed in Minnesota (3116) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2007).

NPPES Registry Identity

NPI1316102643
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SARA RAE BETTERLY WALLEN
Location Address2330 SIOUX TRL NWPrior Lake, MN 55372-9077
Mailing Address712 Hague Ave Apt 2Saint Paul, MN 55104-6951 · (651) 210-6202
Phone(952) 233-2955
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2007
Enumeration DateJuly 25, 2008
✔ NPI 1316102643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 3116
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2330 SIOUX TRL NW, Prior Lake, MN 55372
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Other Names 1

Former Name (1)Dr. Sara Rae Betterly

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sara Rae Betterly Wallen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426589326
PECOS Enrollment IDI20250723000711
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS NELSON BS, LADC
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6164
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Family Medicine
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6150
RACHEL GRANTHAM LADC
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6164
MS. SHARON K KETTLER RDH
Dental Hygienist
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6148
DR. BRIAN RICHARD BREWER PHD, LP
Psychologist
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6167
CASSANDRA STEWART LPCC, LADC
Counselor (Mental Health)
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 403-5241
MRS. JULIE A MALNATI PA
Physician Assistant
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6150
KARLA WEBER
Counselor (Addiction (Substance Use Disorder))
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372
Scott County (952) 496-6188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Betterly Wallen's NPI number?

The NPI number for Sara Betterly Wallen is 1316102643. It was assigned to this individual provider in the NPPES registry on July 25, 2008. The provider is also known as Dr. Sara Rae Betterly.

Where is Sara Betterly Wallen located?

Sara Betterly Wallen practices at 2330 Sioux Trl NW, Prior Lake, MN 55372. The listed phone number is (952) 233-2955.

What is Sara Betterly Wallen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sara Betterly Wallen enrolled in Medicare?

Yes. Sara Betterly Wallen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Betterly Wallen was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.