Individual provider Active NPI

Sandra Day, L.D.O

  • Optician
  • Tifton, GA
National Provider Identifier
1053594358
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
479 Issued in GA
Practice address
363 Main St S
Tift Eye Care
Tifton, GA 31794-4813
Phone
(229) 382-4441
Fax
(229) 386-0211
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 479 GA Primary

Addresses

Primary practice location

363 Main St S
Tift Eye Care
Tifton, GA 31794-4813

Mailing address

363 Main St S
Tift Eye Care
Tifton, GA 31794-4813
Phone (229) 382-4441

Other names 1

  • Mrs. Sarah Knight Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
479GAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1053594358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MAIN ST S",
            "address_2": "TIFT EYE CARE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944813",
            "telephone_number": "229-382-4441",
            "fax_number": "229-386-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST S",
            "address_2": "TIFT EYE CARE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944813",
            "telephone_number": "229-382-4441",
            "fax_number": "229-386-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "L.D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KNIGHT",
            "prefix": "MRS.",
            "credential": "L.D.O",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.