Charles R Sanders
Optometrist in Killeen, TX. Organization (NPI-2).
NPI number1225210792
StatusActive
Last updated in NPPESJul 15, 2010
Details
- NPI
- 1225210792
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles R Sanders
- Organization subpart
- No
- Enumeration date
- Nov 27, 2007
- Last updated
- Jul 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2907TG | TX | Yes |
Practice location
1400 Lowes BlvdKilleen, TX 76542-5201
Phone 254-200-1165 · Fax 254-637-1800
Mailing address
Po Box 337Henderson, TX 75653-0337
Phone 903-854-2192 · Fax 903-854-2407
Authorized official
Jo Sanders
Office Manager
9038542192
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