DR. SAMUEL SANTANDER (NPI# 1093790131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093790131 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL SANTANDER |
| Credential | MD |
| Practice Address |
3621 Randolph Road Suite 100 Charlotte NC 28211 |
| Mailing Address |
Po Box 1070 Christenbury Eye Center Charlotte NC 28201-1070 |
| Practice Telephone | 7043329365 |
| Practice Fax Number | 7043647384 |
| Mailing Telephone | 7043329365 |
| Mailing Fax Number | 7043647384 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 9800380 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS/NC | 1109W | 01 |
| NC | N00380 | 05 | |
| NC | AETNA | 7085246 | 01 |
| NC | 8922463 | 05 |
| Street Address |
3621 RANDOLPH ROAD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
| 1710271507 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 2614 E 7th St, Charlotte, NC 28204-4375 | 2011-06-09 |
| 1760633812 | Pedro Cervantes Fanning | Ophthalmology | 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 | 2008-10-07 |
| 1548290562 | Reza Michael Mozayeni | Ophthalmology | 3025 Springbank Lane, Ste 200, Charlotte, NC 28226-3362 | 2006-07-04 |
| 1821026980 | Thomas K Mundorf | Ophthalmology | 1718 E. Fourth St., Ste 703, Charlotte, NC 28204 | 2006-06-29 |
| 1720027543 | Cleve Wilson Howard | Ophthalmology | 7530 Whistlestop Rd, Charlotte, NC 28210-6914 | 2006-06-06 |
| 1669428975 | Galen Grayson | Ophthalmology | 817 E Morehead St, Ste 200, Charlotte, NC 28202-2700 | 2006-05-26 |
| 1013963719 | Genesis Eye Center | Ophthalmology | 817 East Morehead Street, Suite 200, Charlotte, NC 28202-2767 | 2006-05-25 |
| 1851354724 | Wesley Dobbs Clement Sr. | Ophthalmology | 230 E Wt Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 | 2006-04-10 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.