Active NPI
Matthew T Sanders, O.D.
- Optometrist
- Minot, ND
National Provider Identifier
1053604397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3250
- Practice address
- 1209 32ND Ave SW
Apartment 4
Minot, ND 58701-7268 - Phone
- (701) 720-6379
- NPI assigned
- May 19, 2011
- Last updated
- Feb 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 693 | ND | |
| Optometrist | 152W00000X | 3250 | MN | Primary |
Addresses
Primary practice location
1209 32ND Ave SW
Apartment 4
Minot, ND 58701-7268
Mailing address
1209 32ND Ave SW Apt 4
Minot, ND 58701-7268
Phone (701) 720-6379
Other names 1
- Dr. Matt Terry Sanders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 693 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians Group LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bagan Strinden Vision
- Ophthalmology Physician
- Fargo, ND
- NPI 1346405891
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1053604397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 32ND AVE SW APT 4",
"city": "MINOT",
"state": "ND",
"postal_code": "587017268",
"telephone_number": "701-720-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 32ND AVE SW",
"address_2": "APARTMENT 4",
"city": "MINOT",
"state": "ND",
"postal_code": "587017268",
"telephone_number": "701-720-6379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MATTHEW",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-19",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "693",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATT",
"last_name": "SANDERS",
"middle_name": "TERRY",
"prefix": "DR.",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Minot, ND
- Kerena M Saltzgiver
- Samson Family Chiropractic & Wellness PC (Horizon Family Chiropractic)
- Matthew James Samson, D.C.
- Jesse Jay Sanders
- Marissa Raye Sanders
- Yvette Sanders
- Peter Sandroni, MD
- Danielle N Sandstrom, OTR/L, CHT
- Sanford Healthcare Accessories, LLC (Sanford Health Equip)
- Aisha Santiago de la Villa, LAPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.