Active NPI
Michael Morris Sandy, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1649440793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TN2015
- Practice address
- 3775 Hacks Cross Rd
Memphis, TN 38125-2302 - Phone
- (901) 214-0065
- Fax
- (901) 214-0066
- NPI assigned
- Mar 5, 2008
- Sex
- Male
- 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 | TN2015 | TN | Primary |
Addresses
Primary practice location
3775 Hacks Cross Rd
Memphis, TN 38125-2302
Mailing address
3775 Hacks Cross Rd
Memphis, TN 38125-2302
Phone (901) 219-3453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081103000364 | TN | Practitioner - Optometry | 6406915693 | Practice locations: Memphis, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3775 Hacks Cross Rd
Memphis, TN 38125-2302
Phone (901) 214-0065
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN2015 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1649440793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3775 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252302",
"telephone_number": "901-219-3453",
"fax_number": "901-424-0516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 HACKS CROSS RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252302",
"telephone_number": "901-214-0065",
"fax_number": "901-214-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDY",
"first_name": "MICHAEL",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "TN2015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.