Kevin John Anderson, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

CO1342 Issued in CO

Practice address

4103 Boardwalk Ste 100
Ft Collins, CO 80525-5931

Phone

(970) 223-0592

Fax

(970) 377-1082

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1987

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benjamin D. Sturdy O.D., P.C.

  • Optometrist
  • Castle Rock, CO
  • NPI 1326799214

  Corneal and Contact Management

  Medicare reassignment NPD
• Dr Kevin Anderson & Associates, PC.

  • Optometrist
  • Fort Collins, CO
  • NPI 1346422607
  Medicare reassignment NPD
• Dr Kevin Anderson & Associates, PC.

  • Optometrist
  • Aurora, CO
  • NPI 1720681265
  NPD Authorized official
• Benjamin D. Sturdy O.D., P.C.

  • Optometrist
  • Aurora, CO
  • NPI 1912702879
  NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1447239736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BOARDWALK STE 100",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805255931",
            "telephone_number": "970-223-0592",
            "fax_number": "970-377-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BOARDWALK STE 100",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805255931",
            "telephone_number": "970-223-0592",
            "fax_number": "970-377-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "CO1342",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CO",
            "license": "CO1342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04011250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Anderson, RMT
• Ian Scott Anderson, M.D.
• James C Anderson, DPM
• Jonathan Martin Anderson, DDS
• Kayla Anderson
• Linda Anderson
• Lisa Anderson, LCSW
• Megan Jardina Anderson, APN
• Olivia R Anderson, LSW, SWC
• Robert Scott Anderson, MD

• Corneal and Contact Management Optometrist in Ft Collins, CO
• Providers in Ft Collins, CO by specialty
• Corneal and Contact Management Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.