Nicholas Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4291 Issued in FL

Practice address

1269 S Missouri Ave
Clearwater, FL 33756-4174

Phone

(727) 623-9000

NPI assigned

Oct 13, 2009

Last updated

Mar 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Eye Institute PAGroup PAC ID 8224931993, 31 clinicians

Mobile Vision Partners PLLCGroup PAC ID 3173804523, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: nianderson@directaddress.net

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.

• Mobile Vision Partners, P.L.L.C.

  dba Mobile Vision Partners

  • Optometrist
  • Clearwater, FL
  • NPI 1750746095
  Medicare reassignment Care Compare group NPD
• Southeast Eye Institute, PA

  dba Eye Associates of Pinellas

  • Ophthalmology Physician
  • Pinellas Park, FL
  • NPI 1073625331

  Optometrist

  Medicare reassignment Care Compare group NPD
• N.T. Anderson, O.D., P.a.

  • Optometrist
  • Clearwater, FL
  • NPI 1073848776
  Authorized official Same address or phone
• Custom-Eyes Inc

  • Eyewear Supplier
  • Clearwater, FL
  • NPI 1801078258
  NPD (past)
• Tampa Lighthouse for the Blind

  • Optometrist
  • Tampa, FL
  • NPI 1356431662
  NPD (past)
• The Eye Physicians of Pinellas, PA

  dba Largo Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1366710741
  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1689909442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564174",
            "telephone_number": "727-623-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564174",
            "telephone_number": "727-623-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6133 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108529",
            "country_code": "US",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3165 N McMullen Booth Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612032",
            "country_code": "US",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10755 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337725420",
            "country_code": "US",
            "telephone_number": "727-392-0907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Howard Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061213",
            "country_code": "US",
            "telephone_number": "727-581-8706",
            "fax_number": "727-588-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OPC4291",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nanderson@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "10755 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337725420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andres Alfredo Anais, PA
• Andean Geriatric Services LLC (Touching Hearts at Home - Pinellas)
• Brian L. Anderson, M. D.
• Courtney Anderson, SLP
• Kathy L Anderson, D.O.
• Sabrina Shakria Anderson, CEO
• Scott Alexander Anderson, ATC
• T'Keyah Jajuan Anderson, OTD
• Wayne C Anderson, M.D.
• Alexander Ignacio Andone, CRNA

• Optometrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.