Individual provider Active NPI

Thomas James Anderson, O.D.

  • Optometrist
  • Robins, IA
National Provider Identifier
1669460770
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IA1868 Issued in IA
Practice address
915 Robins Square Dr
Robins, IA 52328-9649
Phone
(319) 294-8888
Fax
(319) 294-4299
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IA1868 IA Primary

Addresses

Primary practice location

915 Robins Square Dr
Robins, IA 52328-9649

Mailing address

1425 Boyson Rd
Hiawatha, IA 52233-2339
Phone (319) 743-3937

Other identifiers 1

IdentifierTypeStateIssuer
45824OtherIAWELLMARK BCBS OF IOWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20031121000521 IA Practitioner - Optometry 1759285703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linn County Eye Care PLCGroup PAC ID 0749434041, 9 clinicians

Practice addresses (Care Compare)

915 Robins Square Dr
Robins, IA 52328-9649
Phone (319) 294-8888

Merit-based Incentive Payment System (MIPS)

Final score
99.65 of 100Reported as individual
Quality
99.29
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IA1868IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Linn County Eye Care PLC Optometrist CurrentSince Jan 1, 2013 Accepting new patients
Iowa Eye Care PC Optometrist Past Accepting new patients
Anderson & Brown Eye Care, PLC Optometrist Past Accepting new patients

Locations

405 S Blairsferry Crossing
Hiawatha, IA 52233
Phone (319) 743-3937

1425 Boyson Rd
Hiawatha, IA 52233
Phone (319) 743-3937

1065 E Post Rd
Marion, IA 52302
Phone (319) 377-2222

915 Robins Square Dr
Robins, IA 52328
Phone (319) 294-8888

Interoperability endpoints

  • Direct secure messaging: tom.anderson@direct.revolutionehr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1669460770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332339",
            "telephone_number": "319-743-3937",
            "fax_number": "319-743-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ROBINS SQUARE DR",
            "city": "ROBINS",
            "state": "IA",
            "postal_code": "523289649",
            "telephone_number": "319-294-8888",
            "fax_number": "319-294-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA1868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "45824",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robins, IA

Sources for this page

Verify at the official NPI Registry.