Organization Active NPI

Sanders Vision Center

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1083914618
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
944-171T Issued in LA
Legal business name
SANDERS VISION CENTER
Practice address
4432 Johnston Street
Lafayette, LA 70503
Phone
(337) 984-9941
Fax
(337) 984-8639
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Dr. Craig M Sanders
Title
Optometrist
Phone
(337) 984-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 944-171T LA Primary

Addresses

Primary practice location

4432 Johnston Street
Lafayette, LA 70503

Mailing address

4432 B Johnston Street
Lafayette, LA 70503
Phone (337) 984-9941

Other identifiers 1

IdentifierTypeStateIssuer
1335975MedicaidLA

National Provider Directory

National Provider Directory

Locations

4432B Johnston St
Lafayette, LA 70503
Phone (337) 984-9941

4432 Johnston St
Lafayette, LA 70503
Phone (337) 984-9941

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1083914618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 B JOHNSTON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-984-9941",
            "fax_number": "337-984-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 JOHNSTON STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-984-9941",
            "fax_number": "337-984-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "337-984-9941",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "944-171T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335975",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.