DR. SAMUEL SANTANDER MD NPI 1093790131

NPI Information

  • NPI: 1093790131
  • Provider Name: DR. SAMUEL SANTANDER, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 3621 RANDOLPH ROAD
    SUITE 100
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 332-9365

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NPI Details

DR. Samuel Santander, MD is an ophthalmology in Charlotte, NC. The provider is 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. DR. Samuel Santander, MD NPI is 1093790131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3621 RANDOLPH ROAD
SUITE 100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 332-9365
Fax: (704) 364-7384

The enumeration date for this NPI number is 12/13/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology9800380NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12249601HMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
27085246OTHERNORTH CAROLINAAETNA
31109WOTHERNORTH CAROLINABCBS/NC
4F16118MEDICARE UPIN
58922463MEDICAIDNORTH CAROLINA
6P00156019MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINARAIL ROAD MEDICARE
7N00380MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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