NPIMap

Organization Active NPI

Dr. Sanders' Professional Eyecare

  • Optometrist
  • Erie, PA
National Provider Identifier
1295845428
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000388 Issued in PA
Legal business name
DR. SANDERS' PROFESSIONAL EYECARE
Practice address
4600 Buffalo Rd
Erie, PA 16510-2207
Phone
(814) 899-6498
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Scott W Sanders, O.D.NPI 1306950696
Title
Optometrist
Phone
(814) 899-6498

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000388 PA Primary

Addresses

Primary practice location

4600 Buffalo Rd
Erie, PA 16510-2207

Mailing address

4600 Buffalo Rd
Erie, PA 16510-2207
Phone (814) 899-6498

National Provider Directory

National Provider Directory
Tax ID family
Dr Sanders Professional Eye Care2 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

4600 Buffalo Rd
Erie, PA 16510
Phone (814) 899-6498

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1295845428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102207",
            "telephone_number": "814-899-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102207",
            "telephone_number": "814-899-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SANDERS' PROFESSIONAL EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "814-899-6498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.