NPIMap

Organization Active NPI

Bradley J Sandler MD Inc

Doing business as Solano Eye Specialists

  • Optometrist
  • Vacaville, CA
National Provider Identifier
1669885661
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
92000388 Issued in CA
Legal business name
BRADLEY J SANDLER MD INC
Doing business as
Solano Eye Specialists
Practice address
1360 Burton Dr Ste 150
Vacaville, CA 95687-3560
Phone
(707) 422-6500
Fax
(707) 422-6556
NPI assigned
Jun 6, 2014
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Yina R Alvarez
Title
Biller
Phone
(707) 422-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 92000388 CA Primary

Addresses

Primary practice location

1360 Burton Dr Ste 150
Vacaville, CA 95687-3560

Mailing address

1360 Burton Dr Ste 150
Vacaville, CA 95687-3560
Phone (707) 422-6500

Other names 1

  • Solano Eye Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140731000757 CA Part B Supplier - Clinic/Group Practice 7113143983 Receives reassigned benefits from 6 practitioners
Practice locations: Fairfield, CA; Vacaville, CA
O20150728004542 CA DME Supplier - Physician - Ophthalmology 7113143983 Practice locations: Vacaville, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bradley J Sandler Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1345 Gateway Blvd
Fairfield, CA 94533
Phone (707) 422-6500

1360 Burton Dr
Ste 150
Vacaville, CA 95687
Phone (707) 422-6500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1669885661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BURTON DR STE 150",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873560",
            "telephone_number": "707-422-6500",
            "fax_number": "707-422-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BURTON DR STE 150",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873560",
            "telephone_number": "707-422-6500",
            "fax_number": "707-422-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J SANDLER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "YINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "707-422-6500"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "92000388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solano Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.