Dustin Clark Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2952 Issued in CO

Practice address

216 S Main St
Ste 2
Breckenridge, CO 80424

Phone

(970) 453-2020

Fax

(970) 547-5865

NPI assigned

Jan 24, 2006

Last updated

Nov 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CO, FL3 enrollments

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 3

Specialty

Optometry

Education

University of Houston - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes on Breckenridge IncGroup PAC ID 6507991973, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Eyes on Breckenridge, Inc

  • Optometrist
  • Breckenridge, CO
  • NPI 1851621767
  Medicare reassignment Care Compare group NPD
• Friendly Eyes Optometry LLC

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1811708977
  Medicare reassignment NPD
• Wesley J. Anderson, O.D., P.C.

  • Optometrist
  • Amarillo, TX
  • NPI 1578719183
  Medicare reassignment

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1669442661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4654",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804244654",
            "telephone_number": "970-453-2020",
            "fax_number": "970-547-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "address_2": "STE 2",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-453-2020",
            "fax_number": "970-547-5865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Womack Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-907-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7238 N Academy Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80920",
            "country_code": "US",
            "telephone_number": "719-292-9991",
            "fax_number": "719-649-5634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Womack Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-907-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DUSTIN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05890",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpinaire Healthcare, Inc (AlpinAire Healthcare)
• Alpine Medical Inc
• Ambika Therapies LLC
• Sierra Andrews, MSW
• Seth Aungst, DC
• Bryan Stanley Austill, PHD
• Axis Sports Medicine, LLC (Axis Sports Medicine)
• Antonino F. Barbera, MD

• Optometrist in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.