Henry John Sanders IV, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

18847 Issued in MS

Practice address

822 Delaware Ave
McComb, MS 39648-3824

Phone

(601) 684-0220

Fax

(601) 684-5573

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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 MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Mississippi School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Vision Correction Center, PLLCGroup PAC ID 0446298699, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.05 of 100Reported as group

Quality

97.29

Improvement activities

40

Cost

77.12

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mississippi Vision Correction Center, PLLC

  • Specialist
  • Flowood, MS
  • NPI 1962412429

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Eye and Aesthetic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • McComb, MS
  • NPI 1902957483
  NPD (past)
• Southwest Mississippi Eye Center

  • Ophthalmology Physician
  • McComb, MS
  • NPI 1346385762
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1376631556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483824",
            "telephone_number": "601-684-0220",
            "fax_number": "601-684-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483824",
            "telephone_number": "601-684-0220",
            "fax_number": "601-684-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "HENRY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "18847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02984016",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Russell
• Vickie Russell
• Meera Sachdeva, MD
• Carlson Sama Babila, M.D.
• Sanders Eye Clinic
• Mia Sanzone
• Lacy Saucier Brown I
• Shronda Savage, M.S.
• Saved by Grace Home Care LLC
• Frances Charles Schmidt

• Ophthalmology Physician in McComb, MS
• Providers in McComb, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.