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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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. (4 clinicians)
Lifetime Eye Care of Rochester Inc (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

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3860MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Center of Austin Inc. Optometrist Current
since Jul 1, 2023
Accepting new patients
Lifetime Eye Care of Rochester Inc Optometrist Current
since Jul 1, 2023
Accepting new patients
Jeffrey L. Anderson, O.D. Optometrist Past
since 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
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)CodeLicenseStatePrimary
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

All providers in Austin, MN · Optometrist in Minnesota

Sources for this page

Verify at the official NPI Registry.