Individual provider Active NPI

Jared Anderson, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1528044419
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ 1380 Issued in AZ
Practice address
4800 N 22ND St
Phoenix, AZ 85016-4701
Phone
(866) 742-6581
NPI assigned
Dec 21, 2005
Last updated
Sep 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ 1380 AZ Primary

Addresses

Primary practice location

4800 N 22ND St
Phoenix, AZ 85016-4701

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20081009000076 AZ Practitioner - Optometry 1456429018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14239 W Bell Rd
Suite 216And219
Surprise, AZ 85374-2469
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ 1380AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD CurrentSince Apr 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2008 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Apr 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Aug 1, 2008 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

8435 E Baseline Rd
Mesa, AZ 85209
Phone (480) 373-0860

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 200
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14820 N Del Webb Blvd
Sun City, AZ 85351

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

14239 W Bell Rd
Ste 216219
Surprise, AZ 85374

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: jared.anderson@direct.avp.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1528044419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "866-742-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ 1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.