Individual
DR. CHARLES L SANDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4511 HIXSON PIKE, HIXSON, TN 37343-5035
(423) 870-3742
(423) 877-9494
Mailing address
4511 HIXSON PIKE, HIXSON, TN 37343-5035
(423) 870-3742
(423) 877-9494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 1190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086164
BLUE CROSS
—
01
—
2240045
UNITED HEALTHCARE
—
05
—
3596745
—
TN
Enumeration date
08/15/2005
Last updated
07/01/2010
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