Individual
DR. VAUGHN G SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1705 FREDERICA ST, OWENSBORO, KY 42301-4814
(270) 683-2121
(270) 683-3167
Mailing address
1705 FREDERICA ST, OWENSBORO, KY 42301-4814
(270) 683-2121
(270) 683-3167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
763DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354055
ANTHEM BCBS NUMBER
KY
05
—
77007631
—
KY
05
—
77904019
—
KY
Enumeration date
03/17/2006
Last updated
09/08/2014
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