Michael Thomas Sapp, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2547 Issued in CO

Practice address

697 Louisiana Rd
Dyess Afb, TX 79607-1141

Phone

(325) 696-4438

NPI assigned

Aug 31, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1497866628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lee Russell, DO
• Cynthia Ann Rutherford, D.O.
• Rockford A Salbato, PA-C, MPAS, BS
• Christopher Allan Sandoval, M.D.
• James Anthony Sanniola, MSW, LCSW
• Arnold Joseph Sauve, LCSW
• Rachel Saxton, LMSW
• Jacqueline Christine Smith, PT, DPT, ATC
• Miranda Leigh Smith, PHARMD
• Nikole Sprunger, RDN, LD

• Optometrist in Dyess Afb, TX
• Providers in Dyess Afb, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.