Wilfredo Sandoval, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC5086 Issued in FL

Practice address

4813 SW 8TH St
Coral Gables, FL 33134-2522

Phone

(786) 431-1635

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wilfredo Sandoval, OD,PLLC

  • Optometrist
  • Laredo, TX
  • NPI 1356695506
  Authorized official Same address or phone

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1396000840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ATLANTIC AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543954",
            "telephone_number": "956-286-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342522",
            "telephone_number": "786-431-1635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Bob Bullock Loop",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780439772",
            "country_code": "US",
            "telephone_number": "956-286-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 W 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123607",
            "country_code": "US",
            "telephone_number": "305-828-9426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "WILFREDO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "8109TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tany Sanchez
• Veronica Lucia Sanchez, LCSW
• Viana R. Sanchez, MD
• Chelsea Sanderson, PHARMD
• Camilo Sandino, APRN
• Robert Charles Sandrock Jr., LCSW
• David Peter Sandrow, PH.D.
• Dominic Sands
• Emily C Sanfiel, LMHC
• Jessica Sanfiel, PSYD

• Corneal and Contact Management Optometrist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.