Kelly Alice Sanders in Champaign - Optometrist
Kelly Alice Sanders - NPI 1619013117
Kelly Alice Sanders is a Optometrist in Champaign, Illinois. Kelly Alice Sanders practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kelly Alice Sanders is 1619013117. The last update date is 2007-07-08.
Kelly Alice Sanders's current location address is 3811 Crail Road, Champaign, Illinois. You can contact this provider via phone number 2178403044. The mailing address for Kelly Alice Sanders is 3811 Crail Road, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Alice Sanders |
|---|---|
| Address | 3811 Crail Road, Champaign, Illinois |
| Phone Number | 2178403044 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1619013117 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3811 Crail Road |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 61822 |
| Phone Number | 2178403044 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the Kelly Alice Sanders's 1619013117?
The Kelly Alice Sanders's NPI (National Provider Identifier) Number is 1619013117. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Alice Sanders located?
The Kelly Alice Sanders is located at 3811 Crail Road, Champaign, IL 61822.
What is Kelly Alice Sanders's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Alice Sanders is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Kelly Alice Sanders receive the assignment of its 1619013117 from the Centers for Medicare & Medicaid Services?
The Kelly Alice Sanders was issued its 1619013117 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the Kelly Alice Sanders's information last updated?
The Kelly Alice Sanders's information was last updated on 2007-07-08.