James R. Sanderson, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-006366 Issued in IL

Legal business name

JAMES R. SANDERSON, O.D., P.C.

Practice address

9924 W 143Rd PL
Orland Park, IL 60462-2567

Phone

(708) 349-7571

Fax

(708) 460-9355

NPI assigned

Mar 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Richard Sanderson, O.D.

Title

Optometrist -President

Phone

(708) 349-7571

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1750680575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 W 143RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622567",
            "telephone_number": "708-349-7571",
            "fax_number": "708-460-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 W 143RD PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622567",
            "telephone_number": "708-349-7571",
            "fax_number": "708-460-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. SANDERSON, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST -PRESIDENT",
        "authorized_official_telephone_number": "708-349-7571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-006366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184654733",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James P Noonan DC SC
• James Simmerer, LCSW, Counseling & Psychotherapy Services, LLC
• Lynn James
• Ruthanna R Jameson, IBCLC, PHD
• Nicholas Janowski, MS, CGC
• Michelle Jara

• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.