Active NPI
Scott J Sands, M.D.
- Ophthalmology Physician
- Jacksonville, TX
National Provider Identifier
1235137621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E2840
- Practice address
- 928 South Bolton Street
Jacksonville, TX 75766 - Phone
- (903) 586-7900
- Fax
- (903) 586-4373
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E2840 | TX | Primary |
Addresses
Primary practice location
928 South Bolton Street
Jacksonville, TX 75766
Mailing address
3601 4TH Street
Stop 7217
Lubbock, TX 79430
Phone (806) 743-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120169101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Southwestern Medical School at Dallas, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 W Knox St
Ennis, TX 75119-4026
Phone (903) 731-4653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Ophthalmology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Locations
3601 4th St
Stop 7217
Lubbock, TX 79430
Phone (806) 743-2020
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Organizations & group practices 6
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.
-
- Specialist
- Palestine, TX
- NPI 1205922572
-
- Ambulatory Surgical Clinic/Center
- Palestine, TX
- NPI 1932212511
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1336198621
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1235137621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 4TH STREET",
"address_2": "STOP 7217",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79430",
"telephone_number": "806-743-2020",
"fax_number": "806-743-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 SOUTH BOLTON STREET",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "75766",
"telephone_number": "903-586-7900",
"fax_number": "903-586-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "SCOTT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E2840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120169101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.