Kyle Sandberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7849TG Issued in TX

Practice address

9725 Datapoint Dr
San Antonio, TX 78229-2384

Phone

(210) 283-6876

NPI assigned

May 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University of the Incarnate Word

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment
• Eye Center of Texas LLP

  • Specialist
  • Bellaire, TX
  • NPI 1720174485
  NPD (past)
• Refractive Surgery & Diagnostic Center PLLC

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1639419013

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1699036186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 NAT WHITE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403642",
            "telephone_number": "561-716-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384",
            "telephone_number": "210-283-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7849TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Villanueva Sanchez, LPC
• Zeus Sanchez, RN
• Alfredo R Sancho Jr., RN
• Sanco Pak, Inc
• Irene G Sandate, NNP
• Joseph Tower Sandefer, OTR, MOT
• Kevin Isacc Sandefer, DDS
• Lana Sandell
• David James Sandercock, DO
• Sharon M. Sanders Braun, PHD

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.