Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Ryan Sanders, OD

Individual provider Optometrist · NPI 1396221230

Dr. Shane Ryan Sanders, OD is an Optometry in Prescott, Arizona. Qualified in 2016, 10 years ago. Practices with Matthew R Sullivan OD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

980 Willow Creek Rd Ste 202
Prescott, AZ 86301-1616
Phone: (928) 778-3937
Fax: (928) 778-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002281 (AZ)

Record details

NPI number1396221230
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 13, 2018
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Matthew R Sullivan Od Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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