Organization
AMANDA SANFORD OD LLC
Active
Other names
Eyes on 3rd
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA M SANFORD (OWNER)
(605) 690-8580
Entity
Organization
Contact information
Practice address
12331 SW 3RD ST STE 300, PLANTATION, FL 33325-2815
(605) 690-8580
Mailing address
12331 SW 3RD ST STE 300, PLANTATION, FL 33325-2815
(605) 690-8580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114222800
—
FL
Enumeration date
10/28/2022
Last updated
01/18/2023
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