James R. Sanderson, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

9924 W 143Rd PL
Orland Park, IL 60462-2404

Phone

(708) 349-7571

Fax

(708) 460-9355

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1184654733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 W 143RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622404",
            "telephone_number": "708-349-7571",
            "fax_number": "708-460-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 W 143RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622404",
            "telephone_number": "708-349-7571",
            "fax_number": "708-460-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Lynn Salkas, MS CCC-SLP
• Adel Samad, M.D.
• Amanda Sammons
• Bryan Samuel
• Sanath Kumar, MD., LTD.
• Julie Ann Santana, RDN, CDCES
• Corrine Santanelli
• Daniel B Santangelo, LCPC
• Bella Lopez Santiago, OTR/L
• Margaret Rose Santiago, D.D.S.

• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.