Anderson & McDonald OD LTD
Organization Active NPI Optometrist · Lakeville, MN
NPI 1255320289 · NPPES record last updated Jun 26, 2025
Key facts
- NPI
- 1255320289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 13 (MN)
- Legal business name
- ANDERSON & MCDONALD OD LTD
- Practice address
- 20094 Kenwood TRL
Lakeville, MN 55044-5404 - Phone
- (952) 469-3937
- Fax
- (877) 795-9884
- NPI assigned
- Oct 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony M McDonald, OD
- Title
- Optometrist/Owner
- Phone
- (952) 469-3937
Practitioners 7
-
Molly Rae McDonald, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| McDonald Eye Care Associates |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100203000481 | MN | Part B Supplier - Clinic/Group Practice | 5395888002 |
Receives reassigned benefits from 5 practitioners Practice locations: Lakeville, MN |
| O20100930067939 | MN | DME Supplier - Physician - Optometrist | 5395888002 | Practice locations: Lakeville, MN |
National Provider Directory
Locations
20094 Kenwood Trl
Lakeville, MN 55044
Phone (952) 469-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 13 | MN | Yes |
Addresses
Primary practice location
20094 Kenwood TRL
Lakeville, MN 55044-5404
Mailing address
20094 Kenwood TRL
Lakeville, MN 55044-5404
Phone (952) 469-3937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-00002 | Other | MN | MEDICA CHOICE |
| 4C996AN | Other | MN | BCBS OF MN (OPTICIAN) |
| DB8139 | Other | MN | RAILROAD MEDICARE |
| 102350 | Other | UCARE | |
| 5056693 | Other | MN | AETNA |
| 2304933 | Other | UNITED HEALTHCARE | |
| 56091AN | Other | MN | BCBS OF MN (OPTOMETRY) |
| HP17629 | Other | HEALTHPARTNERS |
Other names
- McDonald Eye Care Associates
- Robert W. Anderson and Anthony M. McDonald OD LTD
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.