# AMANDA SANFORD OD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eyes on 3rd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023725231
- **Authorized official:** AMANDA M SANFORD (OWNER)
- **Authorized official phone:** (605) 690-8580

## Contact information

- **Practice address:** 12331 SW 3RD ST STE 300, PLANTATION, FL 33325-2815
- **Practice address phone:** (605) 690-8580
- **Mailing address:** 12331 SW 3RD ST STE 300, PLANTATION, FL 33325-2815
- **Mailing address phone:** (605) 690-8580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2022
- **Last updated:** 01/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 114222800 | — | FL |