Austin Andersen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

04-39234 Issued in KS

Practice address

11121 W 95TH St
Professional Eyecare
Overland Park, KS 66214-1824

Phone

(913) 492-7728

Fax

(913) 492-5217

NPI assigned

Apr 23, 2015

Last updated

Sep 4, 2019By 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

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Creighton University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Eyecare Oak Park Inc.Group PAC ID 8921990433, 4 clinicians

Professional Eyecare South LLCGroup PAC ID 2567884240, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Professional Eyecare South LLC

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1679198402
  Medicare reassignment Care Compare group NPD Authorized official
• Professional Eyecare Oak Park Inc.

  • Optometrist
  • Overland Park, KS
  • NPI 1952452229
  Medicare reassignment Care Compare group NPD
• Professional Eyecare Lawrence LLC

  • Ophthalmology Physician
  • Lawrence, KS
  • NPI 1184272015
  Authorized official Same address or phone

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1164819579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 S ALLMAN RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629067",
            "telephone_number": "402-540-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 W 95TH ST",
            "address_2": "PROFESSIONAL EYECARE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141824",
            "telephone_number": "913-492-7728",
            "fax_number": "913-492-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 S Iowa St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660465205",
            "country_code": "US",
            "telephone_number": "785-838-3417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "AUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-39234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analog Counseling & Consulting Services, LLC.
• Analytical Bioservices, Inc. (Life Diagnostics)
• Jason William Anast, M.D.
• Anchor Health Homecare KS LLC
• Anchoring Peace Therapy, LLC
• John Michael Andersen, OD
• Anderson Allied Physical Medicine LLC
• Caitlin Anne Anderson Beam, MS, OTR/L, CLT
• Linda M Anderson-Petty, MED MAC
• Alaena Anderson

• Ophthalmology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.