Individual provider Active NPI

Jeffrey L Anderson, OD

  • Optometrist
  • Austin, MN
National Provider Identifier
1427044916
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2665-PIC Issued in MN
Practice address
200 14TH St NW
Austin, MN 55912-4645
Phone
(507) 437-3227
Fax
(507) 437-8070
NPI assigned
Sep 21, 2005
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2665-PIC MN Primary

Addresses

Primary practice location

200 14TH St NW
Austin, MN 55912-4645

Mailing address

200 14TH St NW
Austin, MN 55912-4645
Phone (507) 437-3227

Other identifiers 15

IdentifierTypeStateIssuer
09Y96LIOtherMNBLUE CROSS BLUE SHIELD
39797WEOtherMNBLUE CROSS BLUE SHIELD
031217700MedicaidMN
411898525OtherMNHUMANA
58381OtherHEALTH PARTNERS
09597ANOtherBLUE PLUS
09Y99LIOtherMNBLUE CROSS BLUE SHIELD
143214OtherMNU-CARE
1021763OtherPREFERRED ONE
22-00464OtherMEDICA
6C464ANOtherMNBLUE CROSS BLUE SHIELD
96Z70ANOtherMNBLUE CROSS BLUE SHIELD
09Y97ANOtherMNBLUE CROSS BLUE SHIELD
605K3LIOtherMNBLUE CROSS BLUE SHIELD
6C465ANOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 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

Enrollment IDStateProvider typePAC IDDetails
I20041117001062 MN Practitioner - Optometry 0749244887 Reassigns benefits to 2 organizations
O20100930085108 MN DME Supplier - Physician - Optometrist 1456424365 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, MN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Eye Care of Rochester IncGroup PAC ID 6507932167, 6 clinicians

Practice addresses (Care Compare)

200 14TH St NW
Austin, MN 55912-4699
Phone (507) 437-3227

3632 10TH LN NW
Suite 2
Rochester, MN 55901-7032
Phone (507) 282-7121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Eye Care of Rochester Inc Optometrist CurrentSince Jul 1, 2008 Accepting new patients
Family Eye Care Center of Austin Inc. Optometrist CurrentSince Jul 1, 2008 Accepting new patients
Preston Eye Clinic LLC Optometrist PastSince Jul 1, 2008 Accepting new patients
Jeffrey L. Anderson O.D. Optometrist Past Accepting new patients
Jeffrey L. Anderson, O.D. Optometrist PastSince Jul 1, 2008 Accepting new patients

Locations

200 14th St NW
Austin, MN 55912
Phone (507) 437-3227

504 S Mantorville Ave
Ste 1
Kasson, MN 55944
Phone (507) 634-4445

1608 1st St NW
Rochester, MN 55901
Phone (507) 282-7121

3632 10th Ln NW
Rochester, MN 55901
Phone (507) 281-5000

3632 10th Ln NW
Ste 2
Rochester, MN 55901
Phone (507) 282-7121

214 N Broadway St
Spring Valley, MN 55975
Phone (507) 346-7555

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1427044916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 14TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124645",
            "telephone_number": "507-437-3227",
            "fax_number": "507-437-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 14TH ST NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559124645",
            "telephone_number": "507-437-3227",
            "fax_number": "507-437-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2665-PIC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09Y96LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39797WE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031217700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "411898525",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "58381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS",
            "identifier": "09597AN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09Y99LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE",
            "identifier": "143214",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1021763",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22-00464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6C464AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96Z70AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09Y97AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "605K3LI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6C465AN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, MN

Sources for this page

Verify at the official NPI Registry.