Patricia Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002807 Issued in GA

Practice address

2003 Commerce Dr
Kingsland, GA 31548-6767

Phone

(912) 882-3040

Fax

(912) 882-3786

NPI assigned

Oct 15, 2007

Last updated

Sep 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

New England College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Services of Georgia LLCGroup PAC ID 5991145112, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55 of 100Reported as individual

Quality

0

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 360Care Services of Georgia LLC

  • Optometrist
  • Norcross, GA
  • NPI 1871353599
  Medicare reassignment Care Compare group NPD
• Mobile Medical Eye Care LLC

  • Optometrist
  • Stockbridge, GA
  • NPI 1629680830
  Medicare reassignment NPD

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411776000000",
    "number": "1063601128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 COMMERCE DR",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486767",
            "telephone_number": "912-882-3040",
            "fax_number": "912-882-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002807",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "WY",
            "license": "WY222T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003150919A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Matthew Amato, D.C.
• Lesa A Amato, D.C.
• Amelia Medical Services, LLC (Amelia Medical Care, Kingsland)
• Leith D Anania, LMFT
• Cheyanne Marie Andersen, LPTA
• Rachel Anderson, BCBA
• Ankle and Foot Assoc, LLC
• Applecare LLC
• Applecare LLC
• April T Arnett, CCC-SLP

• Optometrist in Kingsland, GA
• Providers in Kingsland, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; 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.