Wendy Sanders-Maubach, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009512 Issued in IL

Practice address

107 E McKinley Rd
Ottawa, IL 61350-4801

Phone

(815) 433-1426

Fax

(815) 324-9417

NPI assigned

Oct 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Wendy Sanders Briski Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Wendy Sanders-Maubach,O.D., P.C.

  • Optometrist
  • Ottawa, IL
  • NPI 1073796579
  Medicare reassignment NPD Authorized official
• Spry Physical Therapy and Geriatric Wellness, PLLC

  • Physical Therapist
  • Ottawa, IL
  • NPI 1497383673
  NPD (past)
• Timothy I Miller O.D. P.C.

  • Optometrist
  • Ottawa, IL
  • NPI 1235383266
  NPD (past)
• Ophthalmic Surgeons & Physicians LTD

  • Ophthalmology Physician
  • Tempe, AZ
  • NPI 1689648925
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1346238664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MCKINLEY RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504801",
            "telephone_number": "815-433-1426",
            "fax_number": "815-324-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MCKINLEY RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504801",
            "telephone_number": "815-433-1426",
            "fax_number": "815-324-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS-MAUBACH",
        "first_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BRISKI",
            "middle_name": "SANDERS",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Carolina Rubio-Moore, LCSW
• Alecia Anne Ruiz, MSW, LSW
• Rutland C C School Dist 230
• Emily Sage, PMHNP-BC
• Rebecca Samolitis, LCSW
• William Santucci, PT
• Raihan Aziz Sayeed, MD
• James G Schaefer, PT
• Tatum Schilling, OTR/L
• Robert William Schmidt, D.D.S., F.A.G.D. P.C

• Optometrist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.