NPIMap

Organization Active NPI

Dennis Anderson OD

  • Optometrist
  • Jeffersonville, IN
National Provider Identifier
1548498991
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001580AB Issued in IN
Legal business name
DENNIS ANDERSON OD
Practice address
100 E 12TH St
Jeffersonville, IN 47130-3834
Phone
(812) 288-7179
Fax
(812) 288-0203
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Dennis L Anderson, O,D.NPI 1891782710
Title
Owner
Phone
(812) 288-7179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001580AB IN Primary

Addresses

Primary practice location

100 E 12TH St
Jeffersonville, IN 47130-3834

Mailing address

100 E 12TH St
Jeffersonville, IN 47130-3834
Phone (812) 288-7179

National Provider Directory

National Provider Directory

Locations

100 E 12th St
Jeffersonvlle, IN 47130
Phone (812) 288-7179

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1548498991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 12TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303834",
            "telephone_number": "812-288-7179",
            "fax_number": "812-288-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 12TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303834",
            "telephone_number": "812-288-7179",
            "fax_number": "812-288-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS ANDERSON OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-288-7179",
        "authorized_official_credential": "O,D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001580AB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.