Clinton R Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3205 Issued in FL

Practice address

2830 N Hiawassee Rd
Orlando, FL 32818-3319

Phone

(407) 296-2020

NPI assigned

Sep 26, 2005

Last updated

Mar 17, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, OR2 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, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Mobilitycares Oregon LLCGroup PAC ID 8921459751, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Anderson, Inc

  dba Advanced Optical

  • Optometrist
  • Orlando, FL
  • NPI 1700201084
  Medicare reassignment NPD Authorized official
• Mobilitycares Oregon LLC

  • Optometrist
  • Caldwell, ID
  • NPI 1275308835

  OR

  Medicare reassignment Care Compare group NPD
• Adept Health & Wellness

  dba Adept Health

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1275291163
  NPD (past)
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1508057555
  NPD (past)
• Grillo Monroe Optometry LLC

  dba The Eye Dr

  • Optometrist
  • Brandon, FL
  • NPI 1629260500
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• The Eye Care Professionals of Tampa Bay

  dba Eyeglass Factory and Showroom

  • Optometrist
  • Lutz, FL
  • NPI 1740416049
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326034349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WATER TERRACE LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111269",
            "telephone_number": "813-597-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183319",
            "telephone_number": "407-296-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 E Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115500",
            "country_code": "US",
            "telephone_number": "813-662-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLINTON",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3205",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2505T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya Anderson
• Angela Marie Anderson
• April Anderson, CRNA
• Bruce V. Anderson, M.D.
• Christopher Willard Anderson, LMFT
• Damaris Anderson, SLP
• Danita Anderson
• Delaney Kyla Anderson, LCSW
• Edith Anderson, RN
• Emily Anderson, PA-C

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
• 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.