Individual provider Active NPI

Sandra Rodgers Frutchey, O.D.

  • Optometrist
  • Sanford, FL
National Provider Identifier
1225198112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2574 Issued in FL
Practice address
157 Towne Center Blvd
Sanford, FL 32771-7404
Phone
(407) 302-4480
Fax
(407) 268-3241
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2574 FL Primary

Addresses

Primary practice location

157 Towne Center Blvd
Sanford, FL 32771-7404

Mailing address

157 Towne Center Blvd
Sanford, FL 32771-7404
Phone (407) 302-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105001029 FL Practitioner - Optometry 1052509254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frutchey Eye Care, P.a.Group PAC ID 1254529456, 2 clinicians

Practice addresses (Care Compare)

157 Towne Ctr Blvd
Sanford, FL 32771-7404
Phone (407) 302-4480

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2574FLMDDentist
OPC2574FLMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225198112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TOWNE CENTER BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717404",
            "telephone_number": "407-302-4480",
            "fax_number": "407-268-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOWNE CENTER BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327717404",
            "telephone_number": "407-302-4480",
            "fax_number": "407-268-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUTCHEY",
        "first_name": "SANDRA",
        "middle_name": "RODGERS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.