Sappal Optometry Services, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SAPPAL OPTOMETRY SERVICES, INC.

Practice address

1350 Travis Blvd Unit 1507a
Fairfield, CA 94533-3440

Phone

(707) 421-2020

Fax

(707) 425-4266

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Tomiko McGhee

Title

Credentialing Specialist

Phone

(404) 493-2632

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Amandeep Sappal, O.D

  • Optometrist
  • Fairfield, CA
  • NPI 1043628548
  Medicare reassignment NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1982375184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TRAVIS BLVD UNIT 1507A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333440",
            "telephone_number": "707-421-2020",
            "fax_number": "707-425-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TRAVIS BLVD UNIT 1507A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333440",
            "telephone_number": "707-421-2020",
            "fax_number": "707-425-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPAL OPTOMETRY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "TOMIKO",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "404-493-2632"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Santos
• Michael Balbin Santos, M.D.
• Noris Mercedes Santos, RN
• Cong Zhou Santoso, M.D.
• Bienvenido Hernandez Sapida III
• Amandeep Sappal, O.D
• Minerva M. Saqui, MD
• Sarhaddi Pharmaceutical Inc
• Sarhaddi Pharmaceutical Inc
• Sarhaddi Pharmaceutical Inc

• Optometrist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.