Individual provider Active NPI

Earl Sandler, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1245283142
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12120T Issued in CA
Practice address
9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159
Phone
(858) 484-1500
Fax
(858) 484-8416
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12120T CA Primary

Addresses

Primary practice location

9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159

Mailing address

9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159
Phone (858) 484-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050711000788 CA Practitioner - Optometry 3375579337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Mountain Vision Care IncGroup PAC ID 8921034984, 2 clinicians

Practice addresses (Care Compare)

9320 Carmel Mountain Rd
Suite E
San Diego, CA 92129-2159
Phone (858) 484-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12120TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Mountain Vision Care Optometry, Inc Optometrist CurrentSince Apr 19, 2008 Accepting new patients
Dr Cook Reeder & Assocs Optometrist Current Accepting new patients

Locations

9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129
Phone (858) 484-1500

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1245283142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 CARMEL MOUNTAIN RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292159",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 CARMEL MOUNTAIN RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292159",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12120T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.