Carlos Sanchez OD PA
Organization Active NPI Clinic/Center · Estero, FL
NPI 1457542953 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1457542953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- OPC3050 (FL)
- Legal business name
- CARLOS SANCHEZ OD PA
- Practice address
- 8076 Mediterranean Dr
Suite 115
Estero, FL 33928-8317 - Phone
- (239) 992-7711
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carlos Sanchez, O.D.
- Title
- President
- Phone
- (239) 992-7711
Practitioners 2
-
Buck Dunn, OD
-
Carlos Sanchez, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071022000201 | FL | Part B Supplier - Clinic/Group Practice | 1951497064 |
Receives reassigned benefits from 2 practitioners Practice locations: Estero, FL; Fort Myers, FL |
National Provider Directory
Locations
8076 Mediterranean Dr
Ste 115
Estero, FL 33928
Phone (239) 992-2555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | OPC3050 | FL | Yes |
Addresses
Primary practice location
8076 Mediterranean Dr
Suite 115
Estero, FL 33928-8317
Mailing address
2223 SW 51St St
Cape Coral, FL 33914-3001
Phone (239) 560-1571
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.