Sue Ann Sanford, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6766T Issued in TX

Practice address

2301 Porter Creek Dr Ste 217
Fort Worth, TX 76177-2336

Phone

(817) 847-7747

Fax

(817) 847-7783

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focusing on Eye Care IncGroup PAC ID 2264681394, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Focusing on Eye Care, Inc.

  • Optometrist
  • Fort Worth, TX
  • NPI 1912161852
  Medicare reassignment Care Compare group NPD Authorized official
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1508903535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PORTER CREEK DR STE 217",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772336",
            "telephone_number": "817-847-7747",
            "fax_number": "817-847-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PORTER CREEK DR STE 217",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772336",
            "telephone_number": "817-847-7747",
            "fax_number": "817-847-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Melbourne Rd Ste 3002",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760536225",
            "country_code": "US",
            "telephone_number": "817-284-0798",
            "fax_number": "817-284-9717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "SUE ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004414",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4240",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6766T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Sandstad, M.D.
• Cezar D Sandu, M.D.
• Mark S Saneman, D.C.
• Madalyn Sanford
• Rafe Sanford
• Nancy Sang
• Sangameshwar P Reddy MD PA
• Michael Evans Sangenito, PA
• Ishwara R Sankara, MD
• Balamurugan Ponniah Sankarapandian, M.D.

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.