Kenyon B Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8897506 Issued in UT

Practice address

252 W Main St Ste C
Santaquin, UT 84655

Phone

(801) 609-2020

NPI assigned

Jan 25, 2006

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keeneye Family Vision PCGroup PAC ID 4385868108, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: kanderson@wolfeye.intellechartdirect.net

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.

• Keeneye Family Vision PC

  dba Keeneye Family Vision

  • Optometrist
  • Santaquin, UT
  • NPI 1093139438
  Medicare reassignment Care Compare group Authorized official
• Keen Eye Family Vision PA

  dba Family Vision Associates

  • Optometrist
  • Idaho Falls, ID
  • NPI 1720276371
  NPD (past) Authorized official
• Wolf Eye Center, Inc.

  • Ophthalmology Physician
  • Wasilla, AK
  • NPI 1063740363

  Optometrist

  NPD
• Central Utah Eye Associates

  • Ophthalmology Physician
  • Provo, UT
  • NPI 1992722888
  NPD (past)
• Alaska Center for the Blind and Visually Impaired

  • Optometrist
  • Anchorage, AK
  • NPI 1942383823
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1043280555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W MAIN ST STE C",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557086",
            "telephone_number": "801-609-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W MAIN ST STE C",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "84655",
            "telephone_number": "801-609-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Santaquin",
            "state": "UT",
            "postal_code": "84655",
            "country_code": "US",
            "telephone_number": "801-609-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 W Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Santaquin",
            "state": "UT",
            "postal_code": "84655",
            "country_code": "US",
            "telephone_number": "801-609-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 E Greenstreet Cir",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548425",
            "country_code": "US",
            "telephone_number": "907-376-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KENYON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8897506",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100087",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "235042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Adams
• Ascend Mental Health and Wellness
• Jillene Louise Askerlulnd, SA-C
• Jared L Bingham, MD
• Holly Binks, CMHC
• Wesley S Bott, DO

• Optometrist in Santaquin, UT
• Providers in Santaquin, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.