Individual provider Active NPI

Michael G Sonnleitner, O.D.

  • Optometrist
  • Capitola, CA
National Provider Identifier
1750354080
Registry record updated May 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5209T Issued in CA
Practice address
2121 41St Ave
Capitola, CA 95010-2057
Phone
(831) 476-7744
Fax
(831) 464-1515
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5209T CA Primary

Addresses

Primary practice location

2121 41St Ave
Capitola, CA 95010-2057

Mailing address

2121 - 41St Ave
Ste 108
Capitola, CA 95010
Phone (831) 476-7744

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5209TCAMDOptometrist
5209CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G Sonnleitner Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336780800000",
    "number": "1750354080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 - 41ST AVE",
            "address_2": "STE 108",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "95010",
            "telephone_number": "831-476-7744",
            "fax_number": "831-464-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 41ST AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102057",
            "telephone_number": "831-476-7744",
            "fax_number": "831-464-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNLEITNER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5209T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.