L Victor Sandoval, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

260 Issued in NM

Practice address

700 S Telshor Blvd
Ste 1534
Las Cruces, NM 88011-4669

Phone

(575) 522-8334

Fax

(575) 522-1065

NPI assigned

Nov 30, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1841274313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S TELSHOR BLVD",
            "address_2": "STE 1534",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114669",
            "telephone_number": "575-522-8334",
            "fax_number": "575-522-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELSHOR BLVD",
            "address_2": "STE 1534",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114669",
            "telephone_number": "575-522-8334",
            "fax_number": "575-522-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "L",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99429268",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Sanderson
• Sandia Hearing AIDS
• Adrianna Christine Sandoval Rigales, MSN, PNP-PC
• Carolina Victoria Sandoval
• Eric Sandoval
• Sarah Elena Sandoval
• Sandra B. Emanuel, LLC
• Miranda Sanford
• Santa Fe Home Care of New Mexico, Inc.
• Santa Fe Home Care of New Mexico, Inc.

• Optometrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.