| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREW KENNETH SPRENKEL | 1740869197 | 2023-08-13 |
Andrew Kenneth Sprenkel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740869197. Registration indicates Andrew Kenneth Sprenkel is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Andrew Kenneth Sprenkel OD, FAAO |
| Practice Office Address | 11552 TELEGRAPH RD SANTA FE SPRING, CA US |
| Practice Office Telephone | 5628682418 |
| Mailing Address | 3246 LA LOMA PL FULLERTON, CA 928351732 US |
| Business Telephone | 5303634222 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 10800 Magnolia Ave | Riverside, CA 925053043 | 8335742273 |
| Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) Southern California Permanente Medical Group |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 34926
CA |