Individual provider Active NPI

David Bradley Anders, OD

  • Optometrist
  • Ruston, LA
National Provider Identifier
1023545910
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1857-791AT Issued in LA
Practice address
2314 Common CT Ste 2-3
Ruston, LA 71270-7225
Phone
(318) 232-6552
Fax
(318) 588-7930
NPI assigned
May 22, 2017
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1857-791AT LA Primary

Addresses

Primary practice location

2314 Common CT Ste 2-3
Ruston, LA 71270-7225

Mailing address

2313 Commons Court
Suite 4
Ruston, LA 71270
Phone (318) 232-6552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828000086 LA Practitioner - Optometry 5092087916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

2314 Common CT
Suite 3
Ruston, LA 71270-7203
Phone (318) 232-6552

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1857-791ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Humble and Raymond Haik, PTRS Optometrist CurrentSince Aug 1, 2017 Accepting new patients
Cenla Vision Source, LLC Optometrist CurrentSince Nov 10, 2024 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Aug 1, 2017 Accepting new patients

Locations

5615B Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-7787

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

2314 Common Ct
Ste 23
Ruston, LA 71270
Phone (318) 232-6552

108 Regency Pl
West Monroe, LA 71291
Phone (318) 325-2610

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Interoperability endpoints

  • Direct secure messaging: banders@hhec1211.srs-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1023545910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 COMMONS COURT",
            "address_2": "SUITE 4",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71270",
            "telephone_number": "318-232-6552",
            "fax_number": "318-588-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 COMMON CT STE 2-3",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707225",
            "telephone_number": "318-232-6552",
            "fax_number": "318-588-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "DAVID",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-22",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1857-791AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.