Organization
CHARLES R SANDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO SANDERS (OFFICE MANAGER)
(903) 854-2192
Entity
Organization
Contact information
Practice address
1400 LOWES BLVD, KILLEEN, TX 76542-5201
(254) 200-1165
(254) 637-1800
Mailing address
PO BOX 337, HENDERSON, TX 75653-0337
(903) 854-2192
(903) 854-2407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2907TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G000E15P8
—
TX
Enumeration date
11/27/2007
Last updated
07/15/2010
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