DR. ESTEBAN SANDOVAL O.D.
NPI 1245528207
Optometrist in Denver, CO

Q: What is Esteban Sandoval's NPI number?

The NPI number for Esteban Sandoval is 1245528207. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Q: What is Esteban Sandoval's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Esteban Sandoval was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment

1601 E 19TH AVE STE 4525, DENVER, CO 80218(303) 861-2020(720) 729-8262 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Esteban Sandoval O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ESTEBAN SANDOVAL O.D. (NPI 1245528207) is an individual optometrist in Denver, Colorado, licensed in Colorado (3024) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2011).

NPPES Registry Identity

NPI1245528207

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ESTEBAN SANDOVALCredential: O.D.

Location Address1601 E 19TH AVE STE 4525Denver, CO 80218-1290

Mailing Address5990 Dahlia StCommerce City, CO 80022-3708 · (303) 287-3937 · Fax (720) 729-8262

Phone(303) 861-2020

Fax(720) 729-8262

Sole ProprietorNo

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2011

Enumeration DateJuly 12, 2011

Last NPPES UpdateMay 21, 2025

NPPES CertifiedMay 21, 2025

✔ NPI 1245528207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CO · 3024✔ Licensed in NY · TUV007733

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1601 E 19TH AVE STE 4525, Denver, CO 80218

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Esteban Sandoval O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678744976

PECOS Enrollment IDI20160210001743

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

45 services45 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLEAR VISION ASSOCIATES PC

Optometrist

1601 E 19TH AVE STE 4525
DENVER, CO 80218

Denver County (303) 861-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Esteban Sandoval's NPI number?

The NPI number for Esteban Sandoval is 1245528207. It was assigned to this individual provider in the NPPES registry on July 12, 2011.

Where is Esteban Sandoval located?

Esteban Sandoval practices at 1601 E 19th Ave Ste 4525, Denver, CO 80218. The listed phone number is (303) 861-2020.

What is Esteban Sandoval's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Esteban Sandoval enrolled in Medicare?

Yes. Esteban Sandoval is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Esteban Sandoval accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Providence Health Plan and UnitedHealthcare list Esteban Sandoval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Esteban Sandoval was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.