Shari Marie Anderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3505 Issued in MN

Practice address

2480 Fairview Ave N
Roseville, MN 55113-2699

Phone

(651) 639-0407

NPI assigned

Jun 20, 2017

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Female

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 MN

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

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Eyecare Apple Valley IncGroup PAC ID 4082953609, 2 clinicians

DRS. North and Watson, Optometrists P. a.Group PAC ID 7315913670, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Advanced Eyecare Apple Valley Inc.

  dba Advanced Family Eyecare

  • Optometrist
  • Apple Valley, MN
  • NPI 1710455225
  Medicare reassignment Care Compare group NPD
• DRS. North & Watson, Optometrists P. a.

  • Optometrist
  • Roseville, MN
  • NPI 1275560542
  Medicare reassignment Care Compare group NPD
• Advanced Family Eyecare Inc

  • Optometrist
  • Lakeville, MN
  • NPI 1700966298
  Medicare reassignment
• DRS. North & Watson, Optometrists P. a.

  • Optometrist
  • Bloomington, MN
  • NPI 1538199716
  NPD
• DRS. North & Watson, Optometrists P. a.

  • Optometrist
  • Minnetonka, MN
  • NPI 1730119918
  NPD (past)
• DRS. North & Watson, Optometrists P. a.

  • Optometrist
  • Burnsville, MN
  • NPI 1740210913
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1639699846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15160 FOLIAGE AVE # 180",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245916",
            "telephone_number": "952-953-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 FAIRVIEW AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132699",
            "telephone_number": "651-639-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHARI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Anderson, LICSW
• Jill Anderson
• Kerry Lynn Anderson, PHARMD, RPH
• Marnna Anderson
• Megan Marie Anderson
• Julie Anne Andersson, PA
• Maria Jose Andrade Kemper
• Karl Haakon Andreasen, D.D.S.
• Andrya Dieter, PSYD, LP, LLC
• Camille Angeles-Castle, FNP-C

• Optometrist in Roseville, MN
• Providers in Roseville, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.