Active NPI
Sandra Ann Hainsworth, LDO
- Optician
- Summerfield, FL
National Provider Identifier
1629769864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 7462
- Practice address
- 17961 S US Highway 441
Summerfield, FL 34491-8685 - Phone
- (352) 307-4435
- Fax
- (352) 307-4437
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 7462 | FL | Primary |
Addresses
Primary practice location
17961 S US Highway 441
Summerfield, FL 34491-8685
Mailing address
17961 S US Highway 441
Summerfield, FL 34491-8685
Phone (352) 307-4435
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7462 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1629769864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17961 S US HIGHWAY 441",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918685",
"telephone_number": "352-307-4435",
"fax_number": "352-307-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17961 S US HIGHWAY 441",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918685",
"telephone_number": "352-307-4435",
"fax_number": "352-307-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINSWORTH",
"first_name": "SANDRA",
"middle_name": "ANN",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "7462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.