David A. Sanders, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006685 Issued in IL

Practice address

301 S Jackson
Newton, IL 62448

Phone

(618) 783-3123

Fax

(618) 783-2298

NPI assigned

Dec 28, 2006

Last updated

Aug 1, 2008By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

• Wolf Eye Care, Inc

  • Optometrist
  • Newton, IL
  • NPI 1013270008
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1730245580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "address_2": "301 S JACKSON",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "62448",
            "telephone_number": "618-783-3123",
            "fax_number": "618-783-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S JACKSON",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "62448",
            "telephone_number": "618-783-3123",
            "fax_number": "618-783-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Robertson
• Sadie Ruholl
• Amber Nicole Russell, RBT
• Renae Nicole Russell, SLP-CF
• S E Illinois Counseling CTRS Inc.
• Sharon Schackmann, M.S. CCC-SLP/L
• Kristina L. Schafer, RN, LMT
• Paige Nicole Schafer
• Erica Rose Schumacher, MS, CCC-SLP
• Fannie Scott

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.