Individual provider Active NPI

Aleesha Anderson, OD

  • Optometrist
  • Austin, MN
National Provider Identifier
1093406464
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3860 Issued in MN
Practice address
200 14TH St NW
Austin, MN 55912-4699
Phone
(507) 437-3227
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3860 MN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20230601001722 MN Practitioner - Optometry 6709243041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Eye Care of Rochester IncGroup PAC ID 6507932167, 6 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3860MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Eye Care of Rochester Inc Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Family Eye Care Center of Austin Inc. Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Jeffrey L. Anderson, O.D. Optometrist PastSince May 21, 2023 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
Rochester, MN 55901
Phone (507) 281-5000

3632 10th Ln NW
Ste 2
Rochester, MN 55901
Phone (507) 282-7121

214 N Broadway St
Spring Valley, MN 55975
Phone (507) 346-7555

Organizations & group practices 3

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1093406464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 14TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124699",
            "telephone_number": "507-437-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 14TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124699",
            "telephone_number": "507-437-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEESHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.