Sanders Eye Clinic

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

18847 Issued in MS

Legal business name

SANDERS EYE CLINIC

Practice address

822 Delaware Ave
McComb, MS 39648-3824

Phone

(601) 684-0220

Fax

(601) 684-5573

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry J Sanders, MD

Title

Medical Doctor

Phone

(601) 684-0220

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1487744686",
    "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": {
        "organization_name": "SANDERS EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "601-684-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "18847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-CLINIC",
            "identifier": "08172021",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-CLINIC",
            "identifier": "180000373",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lachanda Ruffin
• Jamie Russell
• Vickie Russell
• Meera Sachdeva, MD
• Carlson Sama Babila, M.D.
• Henry John Sanders IV, M.D.
• Mia Sanzone
• Lacy Saucier Brown I
• Shronda Savage, M.S.
• Saved by Grace Home Care LLC

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.