Brian Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NV285 Issued in NV

Practice address

3200 Soaring Gulls Drive
Suite 104
Las Vegas, NV 89129-2198

Phone

(702) 645-3211

Fax

(702) 645-8878

NPI assigned

Oct 3, 2006

Last updated

May 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, WI, CO, AZ4 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 4

Specialty

Optometry

Education

Pacific University - College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 37)

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

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.

• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1952301129
  Medicare reassignment NPD
• Family First Vision Care Arizona PLLC

  dba Pearle Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment NPD
• Family First Vision Care Colorado LLC

  • Optometrist
  • Aurora, CO
  • NPI 1952827750
  Medicare reassignment NPD
• Myeyedr Optometry of Colorado PC

  dba MyEyeDr.

  • Optometrist
  • Parker, CO
  • NPI 1174170526
  Medicare reassignment NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment NPD
• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment NPD
• Wisconsin Vision, LLC

  dba Heartland Vision

  • Optometrist
  • New Berlin, WI
  • NPI 1134179427
  Medicare reassignment NPD
• Yah Vision

  dba Young at Heart Pueblo Kids Vision

  • Optometrist
  • Pueblo, CO
  • NPI 1417461823
  Medicare reassignment NPD
• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  Medicare reassignment
• Abba Eye Care PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1992919419
  NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1164382842
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1356436661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SOARING GULLS DRIVE",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "702-645-3211",
            "fax_number": "702-645-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SOARING GULLS DRIVE",
            "address_2": "SUITE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292198",
            "telephone_number": "702-645-3211",
            "fax_number": "702-645-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-05-05",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000807",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003743",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356436661",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avrohom Anderson, LMSW
• Azelynn Anderson
• Belafonte Anderson
• Belmont W. Anderson, DPM
• Bernardo Anderson
• Brian Anderson
• Brittany Andi Anderson
• Canh Anderson, R.P.
• Carla J Anderson, MD
• Carlese Anderson

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.