Individual provider Active NPI

Thomas Lee Anderson, O.D.

  • Optometrist
  • Atchison, KS
National Provider Identifier
1073523304
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1675 Issued in KS
Practice address
605 Commercial St
Atchison, KS 66002-2404
Phone
(913) 367-4451
Fax
(913) 367-2319
NPI assigned
Aug 9, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1675 KS Primary
Optometrist 152W00000X 2006023500 MO

Addresses

Primary practice location

605 Commercial St
Atchison, KS 66002-2404

Mailing address

605 Commercial St
Atchison, KS 66002-2404
Phone (913) 367-4451

Other identifiers 1

IdentifierTypeStateIssuer
200266420AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041110000516 KS Practitioner - Optometry 3971566928 Reassigns benefits to 2 organizations
I20061204000106 MO Practitioner - Optometry 3971566928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

605 Commercial St
Atchison, KS 66002-2404
Phone (913) 367-4451

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1675KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr T Anderson OD LLC Optometrist CurrentSince Aug 8, 2022 Accepting new patients
Atchison Eye Center, LLC Optometrist PastSince Mar 23, 2009 Accepting new patients
Hiesterman Family Eye Care, LLC Optometrist Past Accepting new patients
Epic Vision LLC Optometrist Past Accepting new patients

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1073523304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 COMMERCIAL ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022404",
            "telephone_number": "913-367-4451",
            "fax_number": "913-367-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COMMERCIAL ST",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660022404",
            "telephone_number": "913-367-4451",
            "fax_number": "913-367-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1675",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006023500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266420A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.