Active NPI
Sandra Di'Ann Trull, O.D.
- Optometrist
- Stockton, CA
National Provider Identifier
1144377888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10889
- Practice address
- 5308 Pacific Ave
Stockton, CA 95207-5619 - Phone
- (209) 952-7170
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10889 | CA | Primary |
Addresses
Primary practice location
5308 Pacific Ave
Stockton, CA 95207-5619
Mailing address
10695 Cornerstone Cir
Stockton, CA 95209-4205
Phone (209) 951-8888
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10889 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Sacramento, CA
- NPI 1023174018
-
- Eyewear Supplier
- Capitola, CA
- NPI 1508921594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144377888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10695 CORNERSTONE CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952094205",
"telephone_number": "209-951-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 PACIFIC AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075619",
"telephone_number": "209-952-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRULL",
"first_name": "SANDRA",
"middle_name": "DI'ANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.