Claire Sanders, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011087 Issued in IL

Practice address

501 S Locust St Ste 2
Manteno, IL 60950-1655

Phone

(815) 468-2015

Fax

(815) 468-2013

NPI assigned

Oct 4, 2016

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Claire Fisher Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: claire.fisher.1@16003.direct.athenahealth.com

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.

• Fisher-Gentry Eye Care PC

  • Optometrist
  • Manteno, IL
  • NPI 1750726022
  Medicare reassignment NPD

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1124577036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LOCUST ST STE 2",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501655",
            "telephone_number": "815-468-2015",
            "fax_number": "815-468-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LOCUST ST STE 2",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501655",
            "telephone_number": "815-468-2015",
            "fax_number": "815-468-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CLAIRE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "FISHER",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Salomone, LCSW
• Sample Chiropractic
• Sample Chiropractic, LTD.
• Dawn M Sample, DC
• Michael W Sample, DC
• Serenity Group Living LLC
• William Henry Slavin IV, DDS
• Specialized Assistance Services, NFP
• Specialized Assistance Services, NFP
• Melissa Dawn Spinazzola, B.A.

• Optometrist in Manteno, IL
• Providers in Manteno, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.