Organization Active NPI

Wendy Sanders-Maubach,O.D., P.C.

  • Optometrist
  • Ottawa, IL
National Provider Identifier
1073796579
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WENDY SANDERS-MAUBACH,O.D., P.C.
Practice address
107 E McKinley Rd
Ottawa, IL 61350
Phone
(815) 433-1426
Fax
(815) 324-9417
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Dr. Wendy Sanders-Maubach, ODNPI 1346238664
Title
Doctor/Owner
Phone
(815) 433-1426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

107 E McKinley Rd
Ottawa, IL 61350

Mailing address

107 E McKinley Rd
Ottawa, IL 61350-4801
Phone (815) 433-1426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000299 IL Part B Supplier - Clinic/Group Practice 8325121213 Receives reassigned benefits from 1 practitioner
Practice locations: Ottawa, IL

National Provider Directory

National Provider Directory

Locations

119 Gooding St
La Salle, IL 61301
Phone (815) 223-0331

641 1st St
La Salle, IL 61301
Phone (815) 223-0331

107 E McKinley Rd
Ottawa, IL 61350
Phone (815) 433-1426

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1073796579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MCKINLEY RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504801",
            "telephone_number": "815-433-1426",
            "fax_number": "815-324-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MCKINLEY RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-433-1426",
            "fax_number": "815-324-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY SANDERS-MAUBACH,O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS-MAUBACH",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "815-433-1426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.