Dr Kevin Anderson & Associates, PC.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR KEVIN ANDERSON & ASSOCIATES, PC.

Doing business as

Dr Kevin Anderson

Practice address

4252 S Chambers Rd
Aurora, CO 80014-4130

Phone

(303) 690-1696

Fax

(970) 377-1082

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin John Anderson, ODNPI 1447239736

Title

Ceo

Phone

(970) 223-0592

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Kevin Anderson Doing business as

Electronic endpoints 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dr Kevin Anderson & Associates, PC.

  dba Village Optical

  • Optometrist
  • Fort Collins, CO
  • NPI 1346422607
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin John Anderson, OD

  • Corneal and Contact Management Optometrist
  • Fort Collins, CO
  • NPI 1447239736
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1720681265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BOARDWALK DR UNIT 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255933",
            "telephone_number": "970-223-0592",
            "fax_number": "970-377-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144130",
            "telephone_number": "303-690-1696",
            "fax_number": "970-377-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN ANDERSON & ASSOCIATES, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-223-0592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000139868",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevin@villageopt.com",
            "affiliation": "N",
            "endpointDescription": "kevin@villageopt.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4252 S Chambers Rd",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800144130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr Kevin Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DP Assisting
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• Dr Jennie Brown DDS PC
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• Dr Robert Andrus DDS
• Dr Stephen Kesselman MD PC
• Dr. Ashraf W Sedhom-BDS MD PC (Oral Surgery Center)
• Dr. Stephen Kesselman MD PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.