Sanders, Vaughn G
Sanders, Vaughn G is an individual health care provider with primary practice located at 1705 Frederica St , Owensboro KY 42301-4814. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sanders, Vaughn G can be contacted via phone (270) 683-2121.Contact Information
Primary practice address
1705 Frederica St
Owensboro KY 42301-4814
Phone: (270) 683-2121
Fax: (270) 683-3167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 763DT | Kentucky |
Profile Details
| NPI number | 1558330746 |
|---|---|
| LBN Legal business name | Sanders, Vaughn G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Sep 8th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558330746 | NPPES |
| Kentucky | MEDICAID | 77904019 | |
| Kentucky | Other | 000000354055 | |
| Kentucky | MEDICAID | 77007631 |
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