Vaughn G Sanders, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

763DT Issued in KY

Practice address

1705 Frederica St
Owensboro, KY 42301-4814

Phone

(270) 683-2121

Fax

(270) 683-3167

NPI assigned

Mar 17, 2006

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluegrass Eye Care, PLLCGroup PAC ID 5991225393, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bluegrass Eye Care, PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1134946304
  Medicare reassignment Care Compare group NPD
• Owensboro Eyecare Center PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1770649188
  Medicare reassignment NPD
• John Kenyon American Eye Institute LLC

  dba Eye Surgery Center of Elizabethtown

  • Ambulatory Surgical Clinic/Center
  • Elizabethtown, KY
  • NPI 1013513308
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1558330746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2121",
            "fax_number": "270-683-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2121",
            "fax_number": "270-683-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "VAUGHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "763DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77007631",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NUMBER",
            "identifier": "000000354055",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77904019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nicole Sanchez, OTR/L
• Richard Gilbert Sanchez, PA
• Tyler Sandefur, MSOTR/L
• Audrey La'NA Sanders, BSN
• Jason Chad Sanders, ARNP
• Krystal Sandoval, LMHC
• Payton Sanford
• Puja Nilesh Sangoi, DMD
• Lucia Sao, APRN
• Mohamed A Satti, MD

• Optometrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.