Sanderson Eye PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1762 Issued in MN

Legal business name

SANDERSON EYE PLLC

Practice address

5137 Gus Young Lane
Edina, MN 55436-1530

Phone

(952) 641-6226

Fax

(952) 641-6229

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Paul Sanderson, MD

Title

MD, Owner

Phone

(952) 641-6226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1457584336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 GUS YOUNG LANE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361530",
            "telephone_number": "952-641-6226",
            "fax_number": "952-641-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 GUS YOUNG LANE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361530",
            "telephone_number": "952-641-6226",
            "fax_number": "952-641-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSON EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "952-641-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Peter Sanborn, M.D.
• Sanctum Psychotherapy
• Kendall Sandberg
• Allison Wayva Sanders
• Elise M Sanders, L.I.C.S.W.
• Jeffrey Paul Sanderson, M.D.
• Scott Ehren Sanderson, M.D.
• Rachel Lynn Sang, MD
• Farhad William Sani, M.D.
• Maisy Monica Sanneman, PA-C

• Ophthalmology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.