Active NPI
Sandra Williams Anderson, O.D.
- Optometrist
- Columbus, OH
National Provider Identifier
1619956471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3588/T889
- Practice address
- 338 W 10TH Ave
Columbus, OH 43210-1280 - Phone
- (614) 292-1113
- NPI assigned
- Jan 11, 2006
- Last updated
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3588/T889 | OH | Primary |
Addresses
Primary practice location
338 W 10TH Ave
Columbus, OH 43210-1280
Mailing address
3415 Scioto Run Blvd
Hilliard, OH 43026-3005
Phone (614) 832-1127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3588/T889 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1619956471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 SCIOTO RUN BLVD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430263005",
"telephone_number": "614-832-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101280",
"telephone_number": "614-292-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SANDRA",
"middle_name": "WILLIAMS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3588/T889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.