Individual provider Active NPI

Lyndsey A Sandoval, OD

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1245857226
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT725 Issued in NM
Practice address
3701 Eubank Blvd NE
Albuquerque, NM 87111-3536
Phone
(505) 298-2020
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9972T TX
Optometrist 152W00000X OPT725 NM Primary

Addresses

Primary practice location

3701 Eubank Blvd NE
Albuquerque, NM 87111-3536

Mailing address

4900 Medical Dr Apt 504
San Antonio, TX 78229-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20211018001024 NM Practitioner - Optometry 7719385053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Associates of OptometryGroup PAC ID 9335138452, 6 clinicians

Practice addresses (Care Compare)

3701 Eubank Blvd NE
Sandia Vision Clinic
Albuquerque, NM 87111-3536
Phone (505) 298-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT725NMMDOptometrist
9972TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Associates of Optometry Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Albuquerque Associates of Optometry Optometrist PastSince Aug 1, 2021 Accepting new patients

Locations

3701 Eubank Blvd NE
Albuquerque, NM 87111
Phone (505) 298-2020

112 Hermosa Dr SE
Albuquerque, NM 87108
Phone (505) 265-3443

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1245857226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR APT 504",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EUBANK BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113536",
            "telephone_number": "505-298-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "LYNDSEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9972T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.