Andrew R Anderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003399A Issued in IN

Practice address

230 E Day Rd
100
Mishawaka, IN 46545-3408

Phone

(574) 271-3939

Fax

(574) 271-3941

NPI assigned

Jun 29, 2006

Last updated

Jul 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michiana Eye Center LLCGroup PAC ID 3173595634, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012

Merit-based Incentive Payment System (MIPS)

Final score

91.16 of 100Reported as group

Quality

96.76

Improvement activities

40

Cost

74.85

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrew.anderson@direct.mecfps.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Mishawaka, IN
  • NPI 1396722070

  Optometrist

  Medicare reassignment Care Compare group NPD
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Goshen, IN
  • NPI 1659670685

  Optometrist

  NPD
• Eye Specialists of Indiana, PC

  • Optometrist
  • Indianapolis, IN
  • NPI 1497891204
  NPD (past)
• Michiana Eye Center , LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1083907992

  Optometrist

  NPD (past)
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • South Bend, IN
  • NPI 1073671731

  Optometrist

  NPD (past)
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Plymouth, IN
  • NPI 1316005911

  Optometrist

  NPD (past)
• Hickner Eye Center, P.C.

  • Specialist
  • Portage, MI
  • NPI 1891914867
  NPD (past)
• Kalamazoo Optometry PC

  • Optometrist
  • Portage, MI
  • NPI 1417148669
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1023965795
  Care Compare affiliation
• Saint Joseph Regional Medical Center-South Bend Campus, Inc.

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1841245594
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1104854942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003399A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104854942",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200828350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE NUMBER",
            "identifier": "18003399A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Alvarez Jr.
• Ericka Alvarez
• Amedisys Indiana, L.L.C (Amedisys Home Health)
• American Health Muscular Therapy Clinic Inc
• Alexandria Anderson, RBT
• Jane Elizabeth Anderson, PT
• Kiesha Anderson, D.O.
• Jessica Andreen
• Miles Burton Andrew, M.D.
• Gregory Andrianov, MD

• Optometrist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.