Thomas E Sandy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3889 Issued in OH

Practice address

800 N Clinton St
Suite D
Defiance, OH 43512-4611

Phone

(419) 782-1901

Fax

(419) 782-2200

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1174591705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N CLINTON ST",
            "address_2": "SUITE D",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124611",
            "telephone_number": "419-782-1901",
            "fax_number": "419-782-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CLINTON ST",
            "address_2": "SUITE D",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124611",
            "telephone_number": "419-782-1901",
            "fax_number": "419-782-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDY",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0696617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Steven Samuelson, BC-HIS
• Terri Lee Samuelson, MS CCC-A
• Mark A Sanchez
• Frank Sanders, MS/LISW
• Natasha Sanders, COTA/L
• Jessica Lynn Saunders, NP-C
• Joe W Sayre, MD
• Michelle Denise Schackow
• Cristin Schappert
• Pam Schaufele, LMT, NMT

• Optometrist in Defiance, OH
• Providers in Defiance, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.