Anna Katherine Lansdell
Individual provider Active NPI Optometrist · Saltillo, MS
NPI 1003487463 · NPPES record last updated Aug 10, 2022
Key facts
- NPI
- 1003487463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1033 (MS)
- Practice address
- 122 Willowbrook Dr
Saltillo, MS 38866-6895 - Phone
- (662) 869-1779
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Joshua E Bostick OD PA
Practice addresses (Care Compare)
122 Willowbrook Dr
Saltillo, MS 38866-6895
Phone (662) 869-1779
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220523001740 | MS | Practitioner - Optometry | 7416334990 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (1 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua E. Bostick, O.D., P.a. | Optometrist | Current |
Accepting new patients |
Locations
122 Willowbrook Dr
Saltillo, MS 38866
Phone (662) 869-1779
Networks
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO D-SNP
- TN PPO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO
- TN PPO
Interoperability endpoints
- annaklansdell@eyeclinicsaltillo.eyefinity-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1033 | MS | Yes |
Addresses
Primary practice location
122 Willowbrook Dr
Saltillo, MS 38866-6895
Mailing address
122 Willowbrook Dr
Saltillo, MS 38866-6895
Phone (662) 869-1779
Other providers in Saltillo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.