Leticia Sandoval, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4056 Issued in FL

Practice address

13848 Narcoossee Rd # A104
Orlando, FL 32832-6963

Phone

(407) 313-2020

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lake Nona Eye Care, LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1275778920
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1144437591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13848 NARCOOSSEE RD # A104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326963",
            "telephone_number": "407-313-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 NARCOOSSEE RD # A104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326963",
            "telephone_number": "407-313-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10743 Narcoossee Rd Ste A25",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326947",
            "country_code": "US",
            "telephone_number": "407-658-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "LETICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard H. Sandler, MD
• Kimberly Noble Sandlin, AU.D.
• Alicia Sandoval
• Javier E Sandoval, D.O.
• Joeliz Ided Sandoval
• Sierra Sandoval
• Sandra Mauro OD, PA
• Sandra Pinzon
• Sanelmed PLLC
• Joeanni Sanes

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.