NPIMap

Organization Active NPI

Marc R. Sanders, M.D., P.a.

Doing business as Diagnostic Eye Center

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1265654750
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J3593 Issued in TX
Legal business name
MARC R. SANDERS, M.D., P.A.
Doing business as
Diagnostic Eye Center
Practice address
3405 Edloe St
Suite 300
Houston, TX 77027-6520
Phone
(713) 797-1500
Fax
(713) 797-1150
NPI assigned
May 3, 2007
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Mr. Marc R Sanders, M.D., P.A.NPI 1508855529
Title
Owner
Phone
(713) 797-1500

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6115TG TX
Optometrist 152W00000X 8187T TX
Ophthalmology Physician 207W00000X J3593 TX Primary

Addresses

Primary practice location

3405 Edloe St
Suite 300
Houston, TX 77027-6520

Mailing address

3405 Edloe St
Suite 300
Houston, TX 77027-6520
Phone (713) 797-1500

Other identifiers 4

IdentifierTypeStateIssuer
687760OtherTXAETNA
0077EBOtherTXBCBS GROUP
CG6329OtherTXMEDICARE RAILROAD
080929501MedicaidTX

Other names 1

  • Diagnostic Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000200 TX Part B Supplier - Clinic/Group Practice 1850337320 Receives reassigned benefits from 7 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Eye Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1213 Hermann Dr
Ste 110
Houston, TX 77004
Phone (713) 528-5883

3405 Edloe St
Ste 300
Houston, TX 77027
Phone (713) 797-1500

Practitioners & affiliated clinicians

Practitioners 9

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1265654750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276520",
            "telephone_number": "713-797-1500",
            "fax_number": "713-797-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 EDLOE ST",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276520",
            "telephone_number": "713-797-1500",
            "fax_number": "713-797-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC R. SANDERS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-797-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6115TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8187T",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J3593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "687760",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0077EB",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG6329",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080929501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.