Timothy Lewis Sanders, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5762T Issued in CA

Practice address

491 30TH St
Ste 101
Oakland, CA 94609-3052

Phone

(510) 444-0603

Fax

(510) 444-6046

NPI assigned

Dec 16, 2005

Last updated

May 20, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

Practice roles

Locations

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.

• Northern California Cornea Associates Inc

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1992889240
  Medicare reassignment NPD
• Northern California Cornea Associates.Inc.

  • Optometrist
  • Oakland, CA
  • NPI 1063542777
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1235115718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 30TH ST",
            "address_2": "STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093052",
            "telephone_number": "510-444-0603",
            "fax_number": "510-444-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 30TH ST",
            "address_2": "STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093052",
            "telephone_number": "510-444-0603",
            "fax_number": "510-444-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TIMOTHY",
        "middle_name": "LEWIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5762T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Sanders, MFT, ATR-BC
• Jerry Sanders Jr.
• Leniesha Sanders
• Noah Sanders
• Timothy Sanders, MD, PHD
• Amarjit Sandhu, MD
• Harwinderpal Kaur Sandhu, RN, BSN
• Jasmine K Sandhu, DPT
• Manisha Amin Sandhu
• Rabinder Sandhu, MD, MPH

• Optometrist in Oakland, CA
• Providers in Oakland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.