Aleesha Anderson, OD
Individual provider Active NPI Optometrist · Austin, MN
NPI 1093406464 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1093406464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3860 (MN)
- Practice address
- 200 14TH St NW
Austin, MN 55912-4699 - Phone
- (507) 437-3227
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Eye Care Center of Austin Inc.
Lifetime Eye Care of Rochester Inc
Practice addresses (Care Compare)
200 14TH St NW
Austin, MN 55912-4699
Phone (507) 437-3227
3632 10TH LN NW
Suite 2
Rochester, MN 55901-7032
Phone (507) 282-7121
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20230601001722 | MN | Practitioner - Optometry | 6709243041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3860 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Care Center of Austin Inc. | Optometrist | Current |
Accepting new patients |
| Lifetime Eye Care of Rochester Inc | Optometrist | Current |
Accepting new patients |
| Jeffrey L. Anderson, O.D. | Optometrist | Past |
Accepting new patients |
Locations
200 14th St NW
Austin, MN 55912
Phone (507) 437-3227
504 S Mantorville Ave
Ste 1
Kasson, MN 55944
Phone (507) 634-4445
3632 10th Ln NW
Ste 2
Rochester, MN 55901
Phone (507) 282-7121
3632 10th Ln NW
Rochester, MN 55901
Phone (507) 281-5000
214 N Broadway St
Spring Valley, MN 55975
Phone (507) 346-7555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3860 | MN | Yes |
Addresses
Primary practice location
200 14TH St NW
Austin, MN 55912-4699
Mailing address
200 14TH St NW
Austin, MN 55912-4699
Phone (507) 437-3227
Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. 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.