Sanders, Charles L

Sanders, Charles L is an individual health care provider with primary practice located at 4511 Hixson Pike , Hixson TN 37343-5035. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sanders, Charles L can be contacted via phone (423) 870-3742.

Contact Information

Primary practice address
4511 Hixson Pike Hixson TN 37343-5035
Phone: (423) 870-3742
Fax: (423) 877-9494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD 1190 Tennessee

Profile Details

NPI number 1477555837
LBN Legal business name Sanders, Charles L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477555837 NPPES
Other 0086164 BLUE CROSS
MEDICAID 3596745 BLUE CROSS
Other 2240045 BLUE CROSS

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