Sara Nicole Sanders, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH6470 Issued in OH

Practice address

110 Coshocton Ave
Mount Vernon, OH 43050-2628

Phone

(740) 392-4000

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Nicole Kenny Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Eye Optometric LLCGroup PAC ID 7012144876, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssanders@ohioeye.intellechartdirect.net

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.

• Ohio Eye Optometric LLC

  • Optometrist
  • Mansfield, OH
  • NPI 1447592050
  Medicare reassignment Care Compare group NPD
• Sanders Optometry Inc

  • Optometrist
  • Mount Vernon, OH
  • NPI 1174210918
  NPD Authorized official
• Dave William Wineland, OD

  • Optometrist
  • Mount Vernon, OH
  • NPI 1609962299
  Medicare reassignment
• Ohio Eye Optometric, LLC

  • Eyewear Supplier
  • Mount Vernon, OH
  • NPI 1295531481

  Optometrist

  NPD
• Ohio Eye Surgeons, Inc

  • Ophthalmology Physician
  • Mansfield, OH
  • NPI 1093198566
  NPD

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962851014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502628",
            "telephone_number": "740-392-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COSHOCTON AVE",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502628",
            "telephone_number": "740-392-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N James Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432191834",
            "country_code": "US",
            "telephone_number": "614-257-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "OPT.6470-T3387",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH6470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KENNY",
            "middle_name": "NICOLE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Joseph Salkovick II, CRNA
• Caleb Salmons
• Sanctuary Skilled Home Health Care, LLC
• Sanders Optometry Inc
• Lauren Sanders, LISW, MSW
• Bailey Sapp, LSW
• Dianna Lee Saunders, RN
• Baylor Savage
• Boston Savage
• Stacy Savage

• Optometrist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.