Organization Active NPI

Dr. Sandra J Spender P.a.

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1922455476
Registry record updated May 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2962 Issued in FL
Legal business name
DR. SANDRA J SPENDER P.A.
Practice address
3250 Northlake Blvd
Palm Beach Gardens, FL 33403-1702
Phone
(561) 622-9985
NPI assigned
May 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2016

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

Authorized official

Name
Dr. Sandra Joanne Spender, O.D.NPI 1891837340
Title
Owner
Phone
(561) 310-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2962 FL Primary

Addresses

Primary practice location

3250 Northlake Blvd
Palm Beach Gardens, FL 33403-1702

Mailing address

204 Walton Heath Dr
Atlantis, FL 33462-1128
Phone (561) 310-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401003019 FL Part B Supplier - Clinic/Group Practice 4789013335 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

17800 Congress Ave
Boca Raton, FL 33487
Phone (561) 758-2030

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463184000000",
    "number": "1922455476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WALTON HEATH DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621128",
            "telephone_number": "561-310-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 NORTHLAKE BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031702",
            "telephone_number": "561-622-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SANDRA J SPENDER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A",
        "authorized_official_last_name": "SPENDER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-310-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.