Kelly Alice Sanders, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009770 Issued in IL

Practice address

1109 S Lincoln Ave
Urbana, IL 61801-4703

Phone

(217) 333-2700

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Southern California College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jones Optical IncGroup PAC ID 9537266895, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jones Optical Inc

  • Optometrist
  • Champaign, IL
  • NPI 1376672998
  Medicare reassignment Care Compare group
• Illini Eyecare Inc-Champaign

  • Optometrist
  • Champaign, IL
  • NPI 1447420518
  NPD (past) Authorized official
• Laughton Chiropractic Clinic, LLC

  • Chiropractor
  • Mahomet, IL
  • NPI 1811129836
  NPD (past)
• Suneye LLC

  dba Illini Eyecare

  • Optometrist
  • Champaign, IL
  • NPI 1780239038
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1619013117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014703",
            "telephone_number": "217-333-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014703",
            "telephone_number": "217-333-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KELLY",
        "middle_name": "ALICE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reinaldo Juan Sanchez-Torres, MD
• Sanctuary Emergency Physicians, PLLC
• David W Sandel, M.S.
• Danielle Sanders, SLP
• Ivanna Sanders, PA-C
• Rebecca A Sanders, OT
• Scott Richard Santeler, MD
• Romero Navaranjan Santiago, MD, MPH
• Ronald A Sapiente, MD
• John J Sapp Jr., MD

• Optometrist in Urbana, IL
• Providers in Urbana, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.