James Stanley Anderson, OD
Individual provider Active NPI Optometrist · Eden Prairie, MN
NPI 1619964459 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1619964459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1637 (MN)
- Practice address
- 16550 W 78TH St
Suite a
Eden Prairie, MN 55346-4315 - Phone
- (952) 934-6926
- Fax
- (952) 934-3402
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Eye Clinic and Contact Lens Center
Practice addresses (Care Compare)
1160 Wayzata Blvd E
Wayzata, MN 55391-1963
Phone (952) 473-7505
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100316000584 | MN | Practitioner - Optometry | 0446269286 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Clinic & Contact Lens Center | Optometrist | Current |
Accepting new patients |
| Family Eye Clinic & Contact Lens Center | Optometrist | Current | Accepting new patients |
Locations
3822 W Old Shakopee Rd
Bloomington, MN 55431
Phone (952) 884-4366
16550 W 78th St
Eden Prairie, MN 55346
16550 W 78th St
Ste A
Eden Prairie, MN 55346
Phone (952) 934-6926
1160 Wayzata Blvd E
Wayzata, MN 55391
Phone (952) 473-7505
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1637 | MN | Yes |
Addresses
Primary practice location
16550 W 78TH St
Suite a
Eden Prairie, MN 55346-4315
Mailing address
16550 W 78TH St
Suite a
Eden Prairie, MN 55346-4315
Phone (952) 934-6926
Other providers in Eden Prairie, MN
- Sara Sue Andersen
- Amy Lou Anderson
- Candice Anderson
- David Anderson
- Isabelle Rayne Anderson
- John Mayo Anderson
- Joshua Charles Anderson
- Laura Anderson
- Qamar Bilaal Andrews
- Angel Home Care
All providers in Eden Prairie, MN · Optometrist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.