Individual provider Active NPI

Jewel Sandy, M.D

  • Ophthalmology Physician
  • Chevy Chase, MD
National Provider Identifier
1578833802
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0101672 Issued in MD
Practice address
2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005
Phone
(301) 215-7100
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A149994 CA
Ophthalmology Physician 207W00000X 17337 ND
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A149994 CA
Ophthalmology Physician 207W00000X D0101672 MD Primary

Addresses

Primary practice location

2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005

Mailing address

2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005
Phone (301) 215-7100

Other practice location 1

1321 W Dakota Pkwy
Williston, ND 58801-3807
Phone (701) 572-7641

Other practice location 2

11370 Anderson St Ste 1800
Loma Linda, CA 92354-3450
Phone (909) 558-2154

Other identifiers 1

IdentifierTypeStateIssuer
33-0672915OtherCAFP & SURGEONS OF LLUSOM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, OR, WA, DC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170906002897 CA Practitioner - Ophthalmology 8628228061 Reassigns benefits to 1 organization
I20240410001753 VA Practitioner - Ophthalmology 8628228061 Reassigns benefits to 1 organization
I20240522003622 OR Practitioner - Ophthalmology 8628228061 Reassigns benefits to 1 organization
I20240603003303 WA Practitioner - Ophthalmology 8628228061 Reassigns benefits to 1 organization
I20250226000832 DC Practitioner - Ophthalmology 8628228061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Washington PCGroup PAC ID 5799758595, 15 clinicians

Practice addresses (Care Compare)

2 Wisconsin Cir
Suite 500
Chevy Chase, MD 20815-7040
Phone (301) 215-7100

8230 Boone Blvd
Suite 215
Vienna, VA 22182-2621
Phone (703) 862-7104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0101672MDMDOphthalmology Physician
17337NDMDOphthalmology Physician
A149994CAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Ophthalmology Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2017 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Eye Doctors of Washington PC Ophthalmology CurrentSince Dec 6, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 8, 2024 Accepting new patients
Manor Care of Salmon Creek Wa, Association Ophthalmology CurrentSince Apr 8, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Ophthalmology CurrentSince Apr 8, 2024 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients
Mountain Empire Eye Physicians PLLC Ophthalmology CurrentSince Feb 1, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Harman Eye Center of Appomattox and Associates PLC Past Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

1016 16th St NW
Ste 100
Washington, DC 20036

2 Wisconsin Cir
Ste 230
Chevy Chase, MD 20815
Phone (301) 281-4085

2 Wisconsin Cir
Ste 500
Chevy Chase, MD 20815

5420 Olney Laytonsville Rd
Olney, MD 20832
Phone (301) 562-1311

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10315 NE Tanasbourne Dr
Hillsboro, OR 97124
Phone (503) 531-1700

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

224 Clay Dr
Pounding Mill, VA 24637
Phone (229) 395-9181

2010 Bremo Rd
Ste 128A
Richmond, VA 23226
Phone (804) 285-0680

8230 Boone Blvd
Ste 125
Vienna, VA 22182
Phone (703) 962-7104

137 Plaza Rd
Wise, VA 24293
Phone (276) 679-5612

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: jsandy137859@direct.llu.edu
  • Direct secure messaging: jewel.sandy.p6@direct.katzeneye.nextgenshare.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1578833802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157005",
            "telephone_number": "301-215-7100",
            "fax_number": "202-688-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157005",
            "telephone_number": "301-215-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 W Dakota Pkwy",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "ND",
            "postal_code": "588013807",
            "country_code": "US",
            "telephone_number": "701-572-7641",
            "fax_number": "701-572-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11370 Anderson St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "909-558-2154",
            "fax_number": "909-558-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDY",
        "first_name": "JEWEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A149994",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "17337",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A149994",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0101672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FP & SURGEONS OF LLUSOM",
            "identifier": "33-0672915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.