Matthew T Sanders, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3250 Issued in MN

Practice address

1209 32ND Ave SW
Apartment 4
Minot, ND 58701-7268

Phone

(701) 720-6379

NPI assigned

May 19, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Matt Terry Sanders Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Physicians Group LLC

  • Ophthalmology Physician
  • Fargo, ND
  • NPI 1346405891

  Optometrist

  NPD (past)

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"
        }
    ]
}

• Kerena M Saltzgiver
• Samson Family Chiropractic & Wellness PC
• 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
• Aisha Santiago de la Villa, LAPC

• Optometrist in Minot, ND
• Providers in Minot, ND by specialty
• Optometrist in North Dakota

• 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.

Verify at the official NPI Registry.