CHARLES R SANDERS (NPI# 1225210792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225210792 |
| Entity Type | Organization |
| Organization Name | CHARLES R SANDERS |
| Practice Address |
1400 Lowes Blvd Killeen TX 76542-5201 |
| Mailing Address |
Po Box 337 Henderson TX 75653-0337 |
| Practice Telephone | 2542001165 |
| Practice Fax Number | 2546371800 |
| Mailing Telephone | 9038542192 |
| Mailing Fax Number | 9038542407 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2010-07-15 |
| Authorized Official Name | MRS. JO SANDERS (OFFICE MANAGER) |
| Authorized Official Telephone | 9038542192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2907TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | G000E15P8 | 05 |
| Street Address |
1400 LOWES BLVD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073576211 | Charles Robert Sanders | Optometrist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2006-04-10 |
| 1164023040 | Seble H Bedasso | Pharmacist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2020-11-05 |
| 1558962431 | Darlene Juliene Romious | Pharmacist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2020-11-05 |
| 1922609411 | Stacy Post | Pharmacist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2020-11-03 |
| 1063013563 | Tyler Ken Hirokawa | Pharmacist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2020-11-03 |
| 1750993580 | Lowes Boulevard Vision Pa | Optometrist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2020-08-22 |
| 1073784237 | John A Canyon | Optometrist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2008-03-17 |
| 1487759122 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2006-09-14 |
| 1003833245 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1400 Lowes Blvd, Killeen, TX 76542-5201 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1003387556 | Vision Performance Institute, LLC | Optometrist | 3917 E Stan Schlueter Loop, Killeen, TX 76542-4656 | 2018-12-10 |
| 1710495957 | Daniel & Max LLC | Optometrist | 1801 E Central Texas Expy, Killeen, TX 76543-5347 | 2018-01-22 |
| 1205971512 | Charles R. Sturtevant | Optometrist | 2100 S W S Young Dr, Suite 1000a, Killeen, TX 76543-5352 | 2007-02-21 |
| 1477629814 | Michael Joseph Moses | Optometrist | 4104 E Stan Schlueter Loop Ste 6, Killeen, TX 76542-7873 | 2006-11-28 |
| 1801975511 | Charles M Stephens | Optometrist | 2501 S W S Young Dr, Suite 105, Killeen, TX 76542-2003 | 2006-11-03 |
| 1467538322 | Geronimo Marten-ellis | Optometrist | 620-c Ft.hood.rd., Killeen, TX 76541 | 2006-10-31 |
| 1407950041 | Gary Alvis Seal | Optometrist | 416 North Gray St, Killeen Eyecare Center, Killeen, TX 76541 | 2006-09-12 |
| 1679596837 | John Doran Deapen | Optometrist | 1106 S W S Young Dr, Killeen, TX 76543-4881 | 2006-07-26 |
| 1356369458 | Thomas Allen Lucas Jr. | Optometrist | 2102 South W.s. Young Dr., Killeen, TX 76543-5364 | 2006-07-17 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.