Anderson Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-OPT-LIC-2799 Issued in MT

Legal business name

ANDERSON VISION PLLC

Practice address

815 W College St Ste B
Bozeman, MT 59715-5029

Phone

(406) 587-8333

Fax

(406) 587-8369

NPI assigned

Sep 21, 2016

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Anderson, ODNPI 1770031452

Title

President

Phone

(406) 587-8333

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Anderson, O.D.

  • Optometrist
  • Bozeman, MT
  • NPI 1770031452
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1447708268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W COLLEGE ST STE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155029",
            "telephone_number": "406-587-8333",
            "fax_number": "406-587-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W COLLEGE ST STE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155029",
            "telephone_number": "406-587-8333",
            "fax_number": "406-587-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-587-8333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100378",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-2799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Laurence Anczak, RPH
• Anderson Family Chiropractic, LLC (Wellness Montana)
• Alexandria M Anderson
• Alexis Paige Anderson, D.O.
• Amy Dawn Anderson
• Andrea Esther Anderson, MSW, SWLC
• Candace J Anderson, LCPC

• Optometrist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.