Individual provider Active NPI

Gail Sanderson, OD

  • Optometrist
  • Toledo, OH
National Provider Identifier
1386641264
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5414 Issued in OH
Practice address
5198 N Summit St
Toledo, OH 43611-2748
Phone
(419) 726-1541
Fax
(419) 726-7222
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5414 OH Primary

Addresses

Primary practice location

5198 N Summit St
Toledo, OH 43611-2748

Mailing address

5426 N Summit St
Toledo, OH 43611-2261
Phone (419) 726-1541

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041118000896 OH Practitioner - Optometry 4284698358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Family Eye Care LLCGroup PAC ID 3375667686, 2 clinicians

Practice addresses (Care Compare)

5198 N Summit St
Toledo, OH 43611-2748
Phone (419) 726-1541

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5414OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Eye Care LLC Optometrist CurrentSince Aug 1, 2010 Accepting new patients

Locations

5426 N Summit St
Toledo, OH 43611
Phone (419) 235-2089

5198 N Summit St
Toledo, OH 43611
Phone (415) 726-1541

Interoperability endpoints

  • Direct secure messaging: gail.sanderson@uprisedirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1386641264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112261",
            "telephone_number": "419-726-1541",
            "fax_number": "419-726-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112748",
            "telephone_number": "419-726-1541",
            "fax_number": "419-726-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.