Individual provider Active NPI

Carlos Sanchez, OD

  • Optometrist
  • Estero, FL
National Provider Identifier
1942201298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3050 Issued in FL
Practice address
8076 Mediterranean Dr.
Suite#115
Estero, FL 33928-8304
Phone
(239) 992-7711
Fax
(239) 992-9311
NPI assigned
Aug 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OPC3050 FL Primary

Addresses

Primary practice location

8076 Mediterranean Dr.
Suite#115
Estero, FL 33928-8304

Mailing address

8076 Mediterranean Dr.
Suite#115
Estero, FL 33928-8304
Phone (239) 992-7711

Other identifiers 1

IdentifierTypeStateIssuer
620247100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000141 FL Practitioner - Optometry 7810096989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8076 Mediterranean Dr
Suite 115
Estero, FL 33928-8318
Phone (239) 992-2555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3050FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanchez and Rockman Eye Associates LLC Optometrist Current Accepting new patients
Carlos Sanchez OD PA CurrentSince Oct 28, 2006 Accepting new patients
Jonathan M Frantz, MD PA PastSince Oct 1, 2013 Accepting new patients

Locations

8076 Mediterranean Dr
Ste 115
Estero, FL 33928
Phone (239) 992-2555

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942201298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 MEDITERRANEAN DR.",
            "address_2": "SUITE#115",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339288304",
            "telephone_number": "239-992-7711",
            "fax_number": "239-992-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8076 MEDITERRANEAN DR.",
            "address_2": "SUITE#115",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339288304",
            "telephone_number": "239-992-7711",
            "fax_number": "239-992-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CARLOS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620247100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.