DR. KELLY A SANDERSON (NPI# 1508893348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508893348 |
| Entity Type | Individual |
| Full Name | DR. KELLY A SANDERSON |
| Other Name | DR. KELLY A MARTIN |
| Credential | O.D. |
| Practice Address |
915 Colloredo Blvd Shelbyville TN 37160-2780 |
| Practice Telephone | 9316842197 |
| Practice Fax Number | 9316848562 |
| Mailing Telephone | 9316842197 |
| Mailing Fax Number | 9316848562 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2504 | TN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023280377 | Kelly M Sanderson | Nurse Practitioner | 3000 Hanover Street, Bldg 20 D- Level, Hp Health Center - Palo Alto, Palo Alto, CA 94304 | 2008-03-27 |
| 1407330822 | Kelly Lynn Sanderson | Speech-Language Pathologist | 620 E Chestnut Hill Rd, Newark, DE 19713-1828 | 2018-09-21 |
| 1902388713 | Kelly Sanderson | Speech-Language Pathologist | 3615 Braselton Hwy Ste 103, Dacula, GA 30019-5907 | 2018-08-29 |
| Street Address |
915 COLLOREDO BLVD |
| City | SHELBYVILLE |
| State | TN |
| Zip Code | 37160-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217756 | Bedford Vision and Eye Clinic Pllc | Optometrist | 915 Colloredo Blvd, Shelbyville, TN 37160-2780 | 2017-11-01 |
| 1568746816 | Aundrea Kay Henderson Gregory | Optometrist | 915 Colloredo Blvd, Shelbyville, TN 37160-2780 | 2011-10-05 |
| 1649286576 | Kathy Lynn Shamblin | Optometrist | 915 Colloredo Blvd, Shelbyville, TN 37160-2780 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821310 | Middle Tennessee Support Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 375 Uselton Road, Shelbyville, TN 37160 | 2018-05-15 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1285158519 | Angelique Lynn Oliver | Case Management | 604 S. Wall St., Shelbyville, TN 37160 | 2017-07-28 |
| 1215476445 | Acts of Kindness | Home Health | 213 Lane Parkway, Shelbyville, TN 37160 | 2017-02-21 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1346459385 | Chamberland Dentistry PC | Preferred Provider Organization | 1006 Colloredo Blvd, Shelbyville, TN 37160 | 2007-05-22 |
| Find all providers in zip 37160 | ||||
| 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 |
|---|---|---|---|---|
| 1386113413 | Eye Care Center Associates Pa | Optometrist | 301 Colloredo Blvd Ste C, Shelbyville, TN 37160-2839 | 2018-11-19 |
| 1487005484 | Mid-state Eye Partners Inc | Optometrist | 102 N Heinlein Dr, Shelbyville, IL 62565-9050 | 2016-06-30 |
| 1639227697 | Louisville Optometric Centers, IIi Psc | Optometrist | 162 Midland Blvd, Shelbyville, KY 40065-9734 | 2007-01-08 |
| 1609950401 | Theodore E Bogart | Optometrist | West Route 16, Shelbyville, IL 62565-0199 | 2006-10-25 |
| 1952490336 | Gary A Borchert | Optometrist | 273 W Broadway St, Shelbyville, IN 46176-1101 | 2006-10-12 |
| 1881701720 | Robert Lynn Johnson | Optometrist | 919 Spring Hill Rd, Shelbyville, IN 46176-2759 | 2006-08-24 |
| 1013972405 | Daniel Mark Bowersox | Optometrist | 403 Washington St, Shelbyville, KY 40065-1127 | 2006-04-19 |
| 1629050885 | Katherine Rebecca Garringer | Optometrist | 441 Amos Rd, Shelbyville, IN 46176-2245 | 2005-11-15 |
| 1619966728 | City Optical Co Inc | Optometrist | 1634 E State Rd 44, Shelbyville, IN 46614-1844 | 2005-10-20 |
| 1669467189 | Joseph T Marcin Jr. | Optometrist | 1401 W Main St, Shelbyville, IL 62565-1256 | 2005-09-12 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 37160 |
Please comment or provide details below to improve the information on DR. KELLY A SANDERSON.
| 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.