Active NPI
Heather Michelle Sanner, O.D.
- Optometrist
- Monument, CO
National Provider Identifier
1851421028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2546
- Practice address
- 16218 Jackson Creek Pkwy
Monument, CO 80132-7181 - Phone
- (719) 367-1641
- Fax
- (719) 484-0932
- NPI assigned
- Mar 6, 2007
- 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 | 2546 | CO | Primary |
Addresses
Primary practice location
16218 Jackson Creek Pkwy
Monument, CO 80132-7181
Mailing address
10921 Indian Echo Ter
Peyton, CO 80831-7057
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2546 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abba Eye Care PC | Optometrist | Past | 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.
-
- Optometrist
- Colorado Springs, CO
- NPI 1952301129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1851421028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 INDIAN ECHO TER",
"city": "PEYTON",
"state": "CO",
"postal_code": "808317057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16218 JACKSON CREEK PKWY",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327181",
"telephone_number": "719-367-1641",
"fax_number": "719-484-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANNER",
"first_name": "HEATHER",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.