Organization
JG SANFORD LLC
Active
Other names
Physician's Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARLE GLENN SANFORD M.D. (MANAGING PARTNER)
(660) 885-8171
Entity
Organization
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735
(660) 885-2020
(660) 885-9375
Mailing address
1602 N 2ND ST, CLINTON, MO 64735
(660) 885-2020
(660) 885-9375
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LC0010929
MO
Other
Enumeration date
10/06/2006
Last updated
05/01/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up