Individual provider Active NPI

Kimberly Nicole Sanders, O.D.

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1952854465
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-355-TA-D35 Issued in AL
Practice address
535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715
Phone
(205) 556-2121
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2894 OK
Optometrist 152W00000X R-355-TA-D35 AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715

Mailing address

535 Jack Warner Pkwy NE Ste B1
Tuscaloosa, AL 35404-5715
Phone (205) 556-2121

Other practice location 1

1406 McFarland Blvd N Ste 1B
Tuscaloosa, AL 35406-2294
Phone (205) 556-2121

Other practice location 2

500 Fisher Street
Keesler AFB
Biloxi, MS 39534
Phone (228) 376-0444

Other practice location 3

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (800) 325-0113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210929002109 OK Practitioner - Optometry 2860899143 Reassigns benefits to 1 organization
I20241031003239 AL Practitioner - Optometry 2860899143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscaloosa Ophthalmology IncGroup PAC ID 4981627676, 5 clinicians

Practice addresses (Care Compare)

535 Jack Warner Pkwy NE
Tuscaloosa, AL 35404-5715
Phone (205) 556-2121

Merit-based Incentive Payment System (MIPS)

Final score
85.51 of 100Reported as group
Quality
96.39
Improvement activities
40
Cost
53.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2894OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Ophthalmology, Inc. Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Britton Vision Associates Inc CurrentSince Sep 27, 2021 Accepting new patients

Locations

535 Jack Warner Pkwy NE
Ste B1
Tuscaloosa, AL 35404
Phone (205) 556-2121

1406 McFarland Blvd N
Ste 1B
Tuscaloosa, AL 35406
Phone (205) 556-2121

14701 N Santa Fe Ave
Edmond, OK 73013
Phone (405) 752-2733

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1952854465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE STE B1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045715",
            "telephone_number": "205-556-2121",
            "fax_number": "205-831-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE STE B1",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045715",
            "telephone_number": "205-556-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 McFarland Blvd N Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354062294",
            "country_code": "US",
            "telephone_number": "205-556-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Fisher Street",
            "address_2": "Keesler AFB",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "39534",
            "country_code": "US",
            "telephone_number": "228-376-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6140 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741331933",
            "country_code": "US",
            "telephone_number": "800-325-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2894",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-355-TA-D35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.