David M Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5457 Issued in OH

Practice address

340 Alexandersville Rd
Miamisburg, OH 45342-2554

Phone

(937) 866-3471

NPI assigned

Jun 9, 2005

Last updated

May 3, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Management Group LLCGroup PAC ID 7517034291, 43 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.

• Optometric Management Group LLC

  dba Eye Care Professionals of Powell

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  Medicare reassignment Care Compare group NPD
• Optometric Management Group LLC

  • Optometrist
  • Columbus, OH
  • NPI 1154946044
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1497759344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ALEXANDERSVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422554",
            "telephone_number": "937-866-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ALEXANDERSVILLE RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453422554",
            "telephone_number": "937-866-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Grace Healthcare LLC
• American Grace Healthcare LLC
• American Osteoporosis Services Inc
• Arbia Ameur, CNP
• Alan E Anderson
• Deborah Anderson, RBT
• Shelby Abagail Andzik, RBT
• Jessica Gail Angeleski
• Dennis Jason Anti
• Anytime Med

• Optometrist in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.