KIMBERLY NICOLE SANDERS (O.D.) – Optometrist, NPI 1952854465

KIMBERLY NICOLE SANDERS (O.D.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2894 (OK). The NPI Number for KIMBERLY NICOLE SANDERS (O.D.) is 1952854465

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY NICOLE SANDERS (O.D.)
NPI
1952854465
Phone
(800) 325-0113
Address
6140 S Memorial Dr
Enumeration Date
1 August 2016
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2055562121
Graduation Year
2016 (10 years ago)
PAC ID
2860899143
Group Practice PAC ID
4981627676
Professional Enrollment ID
I20241031003239
Address ID
AL354045715TU535XXNEXX559
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for KIMBERLY NICOLE SANDERS (O.D.)

  • 6140 S Memorial Dr

    Tulsa, OK 741331933

    Phone: (800) 325-0113

    Type: Location

  • 500 Fisher Street

    Keesler AFB

    Biloxi, MS 39534

    Phone: (228) 376-0444

    Type: Location

  • 1406 McFarland Blvd N Ste 1B

    Tuscaloosa, AL 354062294

    Phone: (205) 556-2121

    Type: Location

  • Fisher Street, Biloxi, Harrison County, Mississippi, 39534, United States

    KEESLER AFB

    BILOXI, MS 39534

    Phone: (228) 376-0444

    Type: Location

  • 535 JACK WARNER PKWY NE STE B1

    TUSCALOOSA, AL 354045715

    Phone: (205) 556-2121

    Fax: (205) 831-8370

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $805.

Total Amount is formed as General ($805) + Research ($0) + Ownership ($0) = $805.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($185).

Total Amount

$805

General + Research + Ownership

Payments

36

Total payment records

General Amount

$805

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210929002109IOptometryOKTBD
I20241031003239IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes182121$0
99204New patient office or other outpatient visit, 45-59 minutes173173$0
66821Removal of recurring cataract in lens capsule using a laser156103$0
92136Measurement of corneal curvature and depth of eye149149$0
92134Imaging of retina144120$0
View full utilization report →

Insurance plans in this area (ZIP 74133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981627676View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

Does KIMBERLY NICOLE SANDERS (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY NICOLE SANDERS (O.D.) uses 1952854465.
Is KIMBERLY NICOLE SANDERS (O.D.) listed as active for patients and plans?
The listing shows KIMBERLY NICOLE SANDERS (O.D.) as active in the NPI system.
What is KIMBERLY NICOLE SANDERS (O.D.)'s specialty?
The listing groups KIMBERLY NICOLE SANDERS (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY NICOLE SANDERS (O.D.) serve?
KIMBERLY NICOLE SANDERS (O.D.)'s listing highlights Tulsa, Oklahoma; more addresses can appear in NPPES.
Why does KIMBERLY NICOLE SANDERS (O.D.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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