Robert Sandlin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S591-TA-080 Issued in AL

Practice address

22097 Medical Village Dr
Athens, AL 35613-2904

Phone

(256) 232-4527

Fax

(256) 232-9427

NPI assigned

Nov 30, 2005

Last updated

Dec 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1700860111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22097 MEDICAL VILLAGE DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132904",
            "telephone_number": "256-232-4527",
            "fax_number": "256-232-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22097 MEDICAL VILLAGE DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132904",
            "telephone_number": "256-232-4527",
            "fax_number": "256-232-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S591-TA-080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059836",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Shull Russell, FNP
• Shakira R Ryan, MS
• Bhagabat C Sahu, M.D., M.S., P.C.
• Ian Samuelson, CRNP
• Jenifer Gail Sanders, BSN RN (NP STUDENT)
• Ranelda Lea Scales
• Kayla Schell, DMD
• Albert H Scherff III, MD
• Mace Schneekloth
• Martin F Schreeder, MD

• Optometrist in Athens, AL
• Providers in Athens, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.