Amanda Sanford OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMANDA SANFORD OD LLC

Practice address

12331 SW 3Rd St Ste 300
Plantation, FL 33325-2815

Phone

(605) 690-8580

NPI assigned

Oct 28, 2022

Organization subpart

No

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

Authorized official

Name

Amanda M SanfordNPI 1801102280

Title

Owner

Phone

(605) 690-8580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eyes on 3rd Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda M Sanford, O.D.

  • Optometrist
  • Plantation, FL
  • NPI 1801102280

  FL, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1023725231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12331 SW 3RD ST STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252815",
            "telephone_number": "605-690-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 SW 3RD ST STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252815",
            "telephone_number": "605-690-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA SANFORD OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-690-8580"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114222800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on 3rd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes on 3rd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvaro G Manotas MD PA
• Margaret Alves
• Damisela Amador Jimenez, ARNP
• David Luis Amador, DDS
• Elizabeth Ellen Kerr Amador, DDS
• Maria Fanny Amarillo, DDS
• Ambelle Home Care, Inc.
• Mona Ambroise, CRNA
• Amed USA LLC
• American Access Care of Florida ASC LLC

• All providers in Plantation, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.