Individual provider Active NPI

Reed Anton Sammet, O.D.

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1871711564
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7754T Issued in CA
Practice address
904 Cedar St
Santa Cruz, CA 95060-3802
Phone
(831) 426-1050
Fax
(831) 423-1050
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7754T CA Primary

Addresses

Primary practice location

904 Cedar St
Santa Cruz, CA 95060-3802

Mailing address

904 Cedar St
Santa Cruz, CA 95060-3802
Phone (831) 426-1050

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
7754TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1871711564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050",
            "fax_number": "831-423-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050",
            "fax_number": "831-423-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMET",
        "first_name": "REED",
        "middle_name": "ANTON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7754T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.