Ryan Scott Sandberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002632 Issued in AZ

Practice address

1240 S Signal Butte Rd Ste 103
Mesa, AZ 85209-1603

Phone

(480) 761-2930

Fax

(480) 761-2931

NPI assigned

Apr 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Optometry

Education

Southern California College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 58)

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

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.

• Nationwide Optometry P.C.

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment Care Compare group NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Gilbert, AZ
  • NPI 1023691250
  NPD (past)
• Nationwide Optometry P.C.

  • Optometrist
  • Phoenix, AZ
  • NPI 1073683348
  NPD (past)
• Nationwide Optometry P.C.

  • Optometrist
  • Mesa, AZ
  • NPI 1447973599
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1346981891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 E KESLER LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952782",
            "telephone_number": "480-694-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S SIGNAL BUTTE RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852091603",
            "telephone_number": "480-761-2930",
            "fax_number": "480-761-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Sancho
• Sanctuary Behavioral Health LLC
• Brian Sand, DPT
• Jacklyne Sandaldjian
• Blair James Sandall, DPM
• Alvin Benjamin Sanders, D.C.
• Casey Sanders, LMT
• Chantel Alani Sanders
• Dana Sanders, FNP-C
• Emilee Sanders, OTD, OTR

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.

Verify at the official NPI Registry.