David Bradley Anders, OD
Individual provider Active NPI Optometrist · Ruston, LA
NPI 1023545910 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1023545910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1857-791AT (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Joseph E Humble and Raymond Haik PTRS
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 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20170828000086 | LA | Practitioner - Optometry | 5092087916 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857-791AT | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cenla Vision Source, LLC | Optometrist | Current |
Accepting new patients |
| Joseph E Humble and Raymond Haik, PTRS | Current |
Accepting new patients | |
| Joseph E Humble and Raymond Haik, PTRS | Optometrist | Current |
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
- banders@hhec1211.srs-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1857-791AT | LA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2452118 | Medicaid | LA |
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2019. 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.