Sanford Eugene Roberts II, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

N5974 Issued in TX

Practice address

800 McCullough Ave
San Antonio, TX 78215-1625

Phone

(210) 226-6169

NPI assigned

Mar 23, 2006

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanford.roberts.p1@direct.saeye.nextgenshare.com
• Direct secure messaging: sanford.roberts.p2@direct.saeye.nextgenshare.com
• Direct secure messaging: sanford.roberts.p5@direct.saeye.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Antonio Eye Center, PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1407808173
  Medicare reassignment NPD
• San Antonio Eye Center, P.a.

  dba Alamo Optical

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1538414867
  NPD
• San Antonio Eye Center PA

  dba Harris Optical Southside

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1649239906
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1215996525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 COLONIAL WOODS",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151625",
            "telephone_number": "210-226-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14807 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782323708",
            "country_code": "US",
            "telephone_number": "210-495-2020 x213",
            "fax_number": "210-495-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SANFORD",
        "middle_name": "EUGENE",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9900664",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N5974",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "TX",
            "license": "N5974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Tracy Roberts, LPC
• Lauren Roberts, PHARM D.
• Olga Imelda Roberts, LMFT
• Parker Roberts, MD
• Rodney Eugene Roberts, RN
• Sarah Nicole Roberts
• Simone Suzette Roberts, LMSW
• Stephen Patrick Roberts, M.D.
• Tanya Rhee Roberts
• Tayler Roberts, SLP

• Ophthalmology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.