1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Optometrist
  6. NPI Profile

KELLY ALICE SANDERS OD
NPI 1619013117
Optometrist in Champaign, IL

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
518 E GREEN ST, ILLINI EYECARE EXPRESS, CHAMPAIGN, IL 61820(217) 351-6110(217) 351-6395 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Alice Sanders Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ALICE SANDERS OD (NPI 1619013117) is an individual optometrist in Champaign, Illinois and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2005).

NPPES Registry Identity

NPI1619013117
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLY ALICE SANDERSCredential: OD
Location Address518 E GREEN ST, ILLINI EYECARE EXPRESSChampaign, IL 61820
Mailing Address3811 Crail RoadChampaign, IL 61822 · (217) 840-3044
Phone(217) 351-6110
Fax(217) 351-6395
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2005
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619013117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
518 E GREEN ST, Champaign, IL 61820
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINV07266

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Alice Sanders Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355360579
PECOS Enrollment IDI20051117000100
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINI EYECARE INC-CHAMPAIGN
Optometrist
518 E GREEN ST
CHAMPAIGN, IL 61820
Champaign County (217) 351-6110
SUNEYE LLC
Optometrist
518 E GREEN ST
CHAMPAIGN, IL 61820
Champaign County (217) 351-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Sanders's NPI number?

The NPI number for Kelly Sanders is 1619013117. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Kelly Sanders located?

Kelly Sanders practices at 518 E Green St Illini Eyecare Express, Champaign, IL 61820. The listed phone number is (217) 351-6110.

What is Kelly Sanders's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelly Sanders enrolled in Medicare?

Yes. Kelly Sanders is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Sanders accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Kelly Sanders as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Sanders was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.