Kelly A Sanders (NPI# 1619013117, PAC ID# 1355360579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1619013117 |
| PAC ID by PECOS | 1355360579 |
| Professional Enrollment ID | I20051117000100 |
| Full Name | Kelly A Sanders |
| Organization Legal Name | JONES OPTICAL INC |
| Address |
417 E Main St Mahomet IL 61853-7426 |
| Phone Number | 2175861726 |
| Gender | F |
| Credential | OD |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9537266895 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 417 E Main St, Mahomet, IL 61853-7426 | 2175861726 | JONES OPTICAL INC |
| Organization Legal Name | JONES OPTICAL INC |
| Physicians | 1 |
| Street Address |
417 E MAIN ST |
| City | MAHOMET |
| State | IL |
| Zip | 61853-7426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik D Burgwald | Optometry | 417 E Main St, Mahomet, IL 61853-7426 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sinisa Stanic | Radiation Oncology | Carle Health Care Incorporated | 1001 Heather Dr, Mahomet, IL 61853-2754 |
| Kelly A Kane | Psychologist, Clinical | Carle Health Care Incorporated | 1001 Heather Dr, Mahomet, IL 61853-2754 |
| Stephen Rudawski | Family Practice | Carle Health Care Incorporated | 1001 Heather Dr, Mahomet, IL 61853-2754 |
| Daniel L Walk | Chiropractic | 1501 E Oak St, Suite 2, Mahomet, IL 61853-3778 | |
| Frank A Wrestler | Internal Medicine | Gibson Community Hospital Association | 1504 Patton Dr, Suite 2, Mahomet, IL 61853-8126 |
| Onachukwu G Osaji | Family Medicine | Christie Clinic, LLC | 1001 Commercial Dr, Mahomet, IL 61853-8625 |
| Kevin L Gray | Chiropractic | 207 E Oak St, Mahomet, IL 61853-9663 |
| City | MAHOMET |
| Zip Code | 61853 |
| Specialty | OPTOMETRY |
| City + Specialty | MAHOMET + OPTOMETRY |
Please comment or provide details below to improve the information on Kelly A Sanders.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.