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General NPI Number Information
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NPI Number | 1386641264
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Entity Type | Individual
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Provider Name | GAIL SANDERSON OD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 5198 N SUMMIT ST
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City | TOLEDO
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State | OH
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Zip | 43611-2748
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Country | US
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Telephone | 419-726-1541
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Fax | 419-726-7222
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Provider Business Mailing Address
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Address Line | 5426 N SUMMIT ST
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City | TOLEDO
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State | OH
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Zip | 43611-2261
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Country | US
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Telephone | 419-726-1541
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Fax | 419-726-7222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5414
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License Number State | OH
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