Active NPI
Brandon Lee Sanders, O.D.
- Optometrist
- Tallahassee, FL
National Provider Identifier
1437160801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1598DT
- Practice address
- 1607 Saint James CT
Optometry Clinic
Tallahassee, FL 32308-5352 - Phone
- (850) 878-0191
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN0000002569 | TN | |
| Optometrist | 152W00000X | 1598DT | KY | Primary |
Addresses
Primary practice location
1607 Saint James CT
Optometry Clinic
Tallahassee, FL 32308-5352
Mailing address
1240 Talbot Ave
Tallahassee, FL 32308-5242
Phone (615) 439-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1598DT | KY | MD | Optometrist |
| TN0000002569 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanders Eye Care, PLLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Murfreesboro, TN
- NPI 1174718084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1437160801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 TALBOT AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085242",
"telephone_number": "615-439-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 SAINT JAMES CT",
"address_2": "OPTOMETRY CLINIC",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085352",
"telephone_number": "850-878-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "BRANDON",
"middle_name": "LEE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "TN0000002569",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1598DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.