Katherine Reed Anderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005157 Issued in MI

Practice address

87 Monroe St
Detroit, MI 48226-2855

Phone

(313) 965-2740

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Heritage Optical Center Inc

  • Optometrist
  • Detroit, MI
  • NPI 1285728964
  Medicare reassignment
• Heritage Optical Center

  • Optometrist
  • Detroit, MI
  • NPI 1689905929
  NPD (past)
• Heritage Optical Inc.

  • Optometrist
  • Detroit, MI
  • NPI 1053642397
  NPD (past)

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1124500699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E KIRBY ST APT 314",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MONROE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482262855",
            "telephone_number": "313-965-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHERINE",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Keith Anderson
• Joncarlos Anderson
• Joyce Regina Anderson, LPN
• Judy Anderson, BSW
• Karen Eileen Anderson, LBSW
• Kianna Anderson, MSN, APRN, FNP-BC
• Kristina Louise-Van Ginhoven Anderson, FNP-C
• Lakesha Anderson
• Latasha Alise Anderson
• Macy Corrine Anderson, MD

• Optometrist in Detroit, MI
• Providers in Detroit, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.