Coleman Stokes Anderson, O.D.
Individual provider Active NPI Optometrist · Fort Hood, TX
NPI 1659685121 · NPPES record last updated Jul 27, 2010
Key facts
- NPI
- 1659685121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 7717850-9934 (UT)
- Practice address
- 36000 Darnall Loop
Fort Hood, TX 76544 - Phone
- (254) 288-8000
- NPI assigned
- Jul 27, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alameda Vision Inc
Practice addresses (Care Compare)
1155 Pocatello Creek Rd
Pocatello, ID 83201-2949
Phone (208) 233-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20130506000312 | ID | Practitioner - Optometry | 6305083643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7717850-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Vision Inc. | Optometrist | Current |
Accepting new patients |
Locations
1155 Pocatello Creek Rd
Pocatello, ID 83201
Phone (208) 232-0006
1155 Pocatello Creek Rd
Ste Z
Pocatello, ID 83201
Phone (208) 233-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7717850-9934 | UT | Yes |
Addresses
Primary practice location
36000 Darnall Loop
Fort Hood, TX 76544
Mailing address
36000 Darnall Loop
Fort Hood, TX 76544
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2010. 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.