Active NPI
Amanda M Sanford, O.D.
- Optometrist
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5347
- Practice address
- 12331 SW 3Rd St Ste 300
Plantation, FL 33325-2815 - Phone
- (954) 908-3937
- Fax
- (954) 903-4176
- NPI assigned
- Aug 24, 2010
- Last updated
- Jun 26, 2024
- Sex
- Female
- 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 | OPC5347 | FL | Primary |
Addresses
Primary practice location
12331 SW 3Rd St Ste 300
Plantation, FL 33325-2815
Mailing address
12331 SW 3Rd St Ste 300
Plantation, FL 33325-2815
Phone (954) 908-3937
Other practice location 1
1005 W Sugarland Hwy
Clewiston, FL 33440-2706
Phone (863) 902-9844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114222800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12331 SW 3Rd St
Plantation, FL 33325-2818
Phone (605) 690-8580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanda Sanford OD LLC | Optometrist | Current | Accepting new patients |
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| DRS. Cukierman & Gomez, Inc | Optometrist | Current | Accepting new patients |
| Shari L. Gustin OD, PC | Optometrist | Current | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| The Cataract Vision Institute LLC | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937
246 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 442-4602
12331 SW 3rd St
Plantation, FL 33325
Phone (605) 690-8580
12331 SW 3rd St
Ste 300
Plantation, FL 33325
Phone (605) 690-8580
2241 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 629-9309
1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717
81 E Main St
Webster, NY 14580
Phone (585) 265-3710
Networks
- Freedom Health HMO Network
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Ophthalmologic Surgery Clinic/Center
- Miami, FL
- NPI 1871048041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1801102280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12331 SW 3RD ST STE 300",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252815",
"telephone_number": "954-908-3937",
"fax_number": "954-903-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12331 SW 3RD ST STE 300",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252815",
"telephone_number": "954-908-3937",
"fax_number": "954-903-4176"
}
],
"practiceLocations": [
{
"address_1": "1005 W Sugarland Hwy",
"address_purpose": "LOCATION",
"city": "Clewiston",
"state": "FL",
"postal_code": "334402706",
"country_code": "US",
"telephone_number": "863-902-9844",
"fax_number": "954-902-4176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANFORD",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114222800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.