Individual provider Active NPI

Thomas W Sanders, OD

  • Optometrist
  • Yuba City, CA
National Provider Identifier
1336135086
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5593 Issued in CA
Practice address
1215 Plumas St
Ste 1100
Yuba City, CA 95991-3455
Phone
(530) 671-2822
Fax
(530) 671-1450
NPI assigned
Sep 27, 2005
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5593 CA Primary

Addresses

Primary practice location

1215 Plumas St
Ste 1100
Yuba City, CA 95991-3455

Mailing address

1215 Plumas St
Ste 1100
Yuba City, CA 95991-3455
Phone (530) 671-2822

Other identifiers 1

IdentifierTypeStateIssuer
SD0002980MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100916000053 CA Practitioner - Optometry 9133244056 Reassigns benefits to 1 organization
O20110201000706 CA DME Supplier - Physician - Optometrist 4880719707 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuba City, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1215 Plumas St
Suite 1100
Yuba City, CA 95991-3491
Phone (530) 671-2822

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5593CAMDOccupational Therapist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1336135086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE 1100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-671-2822",
            "fax_number": "530-671-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE 1100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-671-2822",
            "fax_number": "530-671-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0002980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.