Chad O Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5896708-9934 Issued in UT

Practice address

5532 W Herriman Main St Ste 120
Herriman, UT 84096-5830

Phone

(801) 302-3080

Fax

(801) 302-8008

NPI assigned

Dec 7, 2009

Last updated

Sep 3, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, UT2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Focused Eyecare LLCGroup PAC ID 3577609031, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Family Focused Eyecare LLC

  • Optometrist
  • Herriman, UT
  • NPI 1558593145
  Medicare reassignment Care Compare group NPD
• Acuity Eyecare PLLC

  dba Blinc Eyecare & Optics

  • Clinic/Center
  • Lehi, UT
  • NPI 1245639442
  Medicare reassignment Authorized official
• Spectacle LLC

  dba Spectacle

  • Optometrist
  • Portland, OR
  • NPI 1376951293
  Medicare reassignment NPD
• Spectacle LLC

  • Optometrist
  • Beaverton, OR
  • NPI 1639646912
  NPD

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1215265012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 W HERRIMAN MAIN ST STE 120",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965830",
            "telephone_number": "801-302-3080",
            "fax_number": "801-302-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 W HERRIMAN MAIN ST STE 120",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965830",
            "telephone_number": "801-302-3080",
            "fax_number": "801-302-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHAD",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60169464",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5896708-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3567ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lee Adams, RPH
• Aetos LLC
• Marie Alexander, MSN, PMHNP-BC, APRN
• Lindsey Anne Alldredge
• Elisa Amador
• Hayleigh Electa Anderson
• Kay Ruth Anderson, ATC
• Apiary Management Group (Beehive Homes of Herriman #1)
• Tierney Kalila Araujo
• Athena Arkansas

• Optometrist in Herriman, UT
• Providers in Herriman, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.