Organization Active NPI

Wilfredo Sandoval, OD,PLLC

  • Optometrist
  • Laredo, TX
National Provider Identifier
1356695506
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8109TG Issued in TX
Legal business name
WILFREDO SANDOVAL, OD,PLLC
Practice address
2320 Bob Bullock Loop
Laredo, TX 78043-9772
Phone
(956) 286-7680
NPI assigned
Nov 8, 2012
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Dr. Wilfredo Sandoval, ODNPI 1396000840
Title
OD, Optometric Glaucoma Specialist
Phone
(956) 286-7680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8109TG TX Primary

Addresses

Primary practice location

2320 Bob Bullock Loop
Laredo, TX 78043-9772

Mailing address

2320 Bob Bullock Loop
Laredo, TX 78043-9772
Phone (956) 286-7680

National Provider Directory

National Provider Directory

Locations

2320 Bob Bullock Loop
Laredo, TX 78043
Phone (956) 286-7680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1356695506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BOB BULLOCK LOOP",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780439772",
            "telephone_number": "956-286-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BOB BULLOCK LOOP",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780439772",
            "telephone_number": "956-286-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO SANDOVAL, OD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "OD, OPTOMETRIC GLAUCOMA SPECIALIST",
        "authorized_official_telephone_number": "956-286-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8109TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.