JG Sanford LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

LC0010929 Issued in MO

Legal business name

JG SANFORD LLC

Doing business as

Physician's Optical

Practice address

1602 N 2ND St
Clinton, MO 64735

Phone

(660) 885-2020

Fax

(660) 885-9375

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Earle Glenn Sanford, M.D.NPI 1982679775

Title

Managing Partner

Phone

(660) 885-8171

Specialties & licenses 1

Addresses

Other names 1

• Physician's Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earle Glenn Sanford, MD

  • Ophthalmology Physician
  • Clinton, MO
  • NPI 1982679775
  NPD Authorized official
• Louis Monaco II, D.O.

  • Ophthalmology Physician
  • Kansas City, MO
  • NPI 1245207398
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1912094566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-2020",
            "fax_number": "660-885-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-2020",
            "fax_number": "660-885-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG SANFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "EARLE",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "660-885-8171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": "LC0010929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician's Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Elizabeth Jaeger, SLP-A
• Cynthia Jameson
• Sarah Jaramillo, BCBA
• Angela Jefferson, LPN
• JFC Chiropractic
• Hannah Elizabeth Jines, M.S., CCC-SLP
• Bevila John-Daniel, M.D.
• Evelyn Johnson, RBT
• Jay Patrick Johnson, AU.D., CCC-A
• Kyle Dale Johnson, O.D.

• Eyewear Supplier in Clinton, MO
• Providers in Clinton, MO by specialty
• Eyewear Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.