Charles R Sanders

LBN: Charles R Sanders
Charles R Sanders is an health care organization with primary practice located at 1400 Lowes Blvd , Killeen TX 76542-5201. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Charles R Sanders can be contacted via phone (254) 200-1165, or through Sanders, Jo via phone (903) 854-2192.

Contact Information

Primary practice address
1400 Lowes Blvd Killeen TX 76542-5201
Fax: (254) 637-1800
Website:
Authorized official contact:
Name: Sanders, Jo

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2907TG Texas

Profile Details

NPI number 1225210792
LBN Legal business name Charles R Sanders
DBA Doing business as
Authorized official Sanders, Jo
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Jul 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225210792 NPPES
Texas MEDICAID G000E15P8

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