Individual provider Active NPI

Esteban Sandoval, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1245528207
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3024 Issued in CO
Practice address
1601 E 19TH Ave Ste 4525
Denver, CO 80218-1290
Phone
(303) 861-2020
Fax
(720) 729-8262
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007733 NY
Optometrist 152W00000X 3024 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 4525
Denver, CO 80218-1290

Mailing address

5990 Dahlia St
Commerce City, CO 80022-3708
Phone (303) 287-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160210001743 CO Practitioner - Optometry 3678744976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14261 E Cedar Ave
Unit C
Aurora, CO 80012-1431
Phone (303) 307-0200

1601 E 19TH Ave
Suite 4525
Denver, CO 80218-1290
Phone (303) 861-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
TUV007733NYMDOptometrist
007733NYMDAcupuncturist
3024COMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2016 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2016 Accepting new patients
Clear Vision Associates PC Optometrist CurrentSince Jan 22, 2016 Accepting new patients
Clear Vision Associates, P.C. Optometrist PastSince Jan 23, 2016 Accepting new patients
Clear Vision Associates, P.C. Optometrist Past Accepting new patients

Locations

14261 E Cedar Ave
Unit C
Aurora, CO 80012
Phone (303) 307-0200

5990 Dahlia St
Commerce City, CO 80022
Phone (303) 287-0909

1601 E 19th Ave
Ste 4525
Denver, CO 80218
Phone (303) 861-2020

777 Bannock St
Denver, CO 80204

1245 E Colfax Ave
Ste 303
Denver, CO 80218
Phone (303) 832-7002

Organizations & group practices 5

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1245528207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 DAHLIA ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223708",
            "telephone_number": "303-287-3937",
            "fax_number": "720-729-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 4525",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181290",
            "telephone_number": "303-861-2020",
            "fax_number": "720-729-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007733",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.