Active NPI
Andersen Eye Associates, PLC
- Eyewear Supplier
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- ANDERSEN EYE ASSOCIATES, PLC
- Practice address
- 5161 Cardinal Park Drive
Saginaw, MI 48604-9435 - Phone
- (989) 249-8853
- Fax
- (989) 249-8842
- NPI assigned
- Nov 2, 2006
- Last updated
- Apr 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Gardner
- Title
- Billing Manager
- Phone
- (989) 249-8853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
5161 Cardinal Park Drive
Saginaw, MI 48604-9435
Mailing address
PO Box 5649
Saginaw, MI 48603-0649
Phone (989) 249-8853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040526001033 | MI | Part B Supplier - Clinic/Group Practice | 8921089871 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bay City, MI; Birch Run, MI; Frankenmuth, MI; Saginaw, MI |
| O20051021000642 | MI | Part B Supplier - Clinic/Group Practice | 8921089871 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bay City, MI; Saginaw, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Andersen Eye Associates
- Ophthalmology Physician
- Saginaw, MI
- NPI 1366402638
O20040526001033, O20051021000642
National Provider Directory
National Provider DirectoryLocations
408 N State St
Alma, MI 48801
Phone (517) 463-1139
504 N Franklin St
Frankenmuth, MI 48734
Phone (989) 652-2626
5400 Mackinaw Rd
Ste 5000
Saginaw, MI 48604
Phone (517) 797-2400
70 N Frost Dr
Ste 3
Saginaw, MI 48638
Phone (517) 799-1533
295 N Main St
Vassar, MI 48768
Phone (517) 823-8559
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Saginaw, MI
- NPI 1972508067
-
- Ophthalmology Physician
- Saginaw, MI
- NPI 1689898173
-
- Optometrist
- Saginaw, MI
- NPI 1548265630
-
- Ophthalmology Physician
- Saginaw, MI
- NPI 1174528863
-
- Ophthalmology Physician
- Bay City, MI
- NPI 1245235332
-
- Ophthalmology Physician
- Saginaw, MI
- NPI 1154326247
-
- Ophthalmology Physician
- Saginaw, MI
- NPI 1639174725
-
- Ophthalmology Physician
- Grand Blanc, MI
- NPI 1083724900
-
- Ophthalmology Physician
- Saginaw, MI
- NPI 1346701539
-
- Optometrist
- Mt Pleasant, MI
- NPI 1205991338
-
- Optometrist
- Flint, MI
- NPI 1538130703
-
- Ophthalmology Physician
- Bay City, MI
- NPI 1154326239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302652800000",
"number": "1124106489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5649",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486030649",
"telephone_number": "989-249-8853",
"fax_number": "989-249-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 CARDINAL PARK DRIVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486049435",
"telephone_number": "989-249-8853",
"fax_number": "989-249-8842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERSEN EYE ASSOCIATES, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2011-04-13",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "989-249-8853"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
- Sara Anani, LPC
- Sindhura Ananthaneni
- Anchored Support Community Services
- Anchoring Pointe Home Care LLC
- Andersen Eye Associates
- Andersen Eye Associates, PLC
- Andersen Eye Associates, PLC (Andersen Eye Associates)
- Andersen Eye Associates, PLC
- Andersen Eye Prosthetics LLC
- Andersen Eye Surgery Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.