MR. JEFFREY PAUL SANDERSON M.D. NPI 1669464970

NPI Information

  • NPI: 1669464970
  • Provider Name: MR. JEFFREY PAUL SANDERSON, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5137 GUS YOUNG LANE
    SANDERSON EYE SPECIALISTS
    EDINA, MN
    ZIP 55436
  • Phone: (952) 641-6226

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NPI Details

MR. Jeffrey Paul Sanderson, M.D. is an ophthalmology in Edina, MN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MR. Jeffrey Paul Sanderson, M.D. NPI is 1669464970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5137 GUS YOUNG LANE
SANDERSON EYE SPECIALISTS
EDINA, MN
ZIP 55436
Phone: (952) 641-6226
Fax: (952) 641-6229

The NPI 1669464970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist200513762MISSOURINo
2207W00000XOphthalmology44481MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I36977MEDICARE UPINMINNESOTA
211480837MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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