Sanjana Vitta

Primary specialty

OptometristTaxonomy code 152W00000X

License

R-374-TA-E11 Issued in AL

Practice address

1809 Data Dr
Hoover, AL 35244-1238

Phone

(205) 982-5000

NPI assigned

Jun 20, 2022

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Female

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 SC

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

Practice roles

Locations

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.

• Avondale Eye Care

  • Optometrist
  • Charleston, SC
  • NPI 1285807131
  Medicare reassignment NPD
• Lowcountry Eye Care of Cane Bay, LLC

  dba Lowcountry Eye Care

  • Optometrist
  • Summerville, SC
  • NPI 1700319282
  Medicare reassignment NPD
• Lowcountry Eye Care of Goose Creek

  • Optometrist
  • Goose Creek, SC
  • NPI 1336440668
  Medicare reassignment NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1497486534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 DATA DR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441238",
            "telephone_number": "205-982-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Savannah Hwy",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294077826",
            "country_code": "US",
            "telephone_number": "843-890-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTA",
        "first_name": "SANJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2352",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-374-TA-E11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Carpenter Vidal
• Vines Medical, PC
• Karen Vines, MD
• Virtis Health, LLC
• Vital Path Care PC
• Josie Waddell, DPT
• Jamie Lynn Wade
• Rachael Reddy Wade, DRPH, MS, RD, LD
• Mary Elizabeth Wagner
• James David Waites, LICSW

• Optometrist in Hoover, AL
• Providers in Hoover, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.