John Anderson, O.D.
Individual provider Active NPI Optometrist · Bozeman, MT
NPI 1770031452 · NPPES record last updated Feb 23, 2017
Key facts
- NPI
- 1770031452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT-OPT-LIC-2799 (MT)
- Practice address
- 815 W College St Ste B
Bozeman, MT 59715-5029 - Phone
- (406) 587-8333
- Fax
- (406) 587-8369
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1727 W College St
Bozeman, MT 59715-4913
Phone (406) 587-8333
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|---|
| I20161207001795 | MT | Practitioner - Optometry | 8921388042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100378 | ID | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-OPT-LIC-2799 | MT | Yes |
| Optometrist | 152W00000X | ODP-100378 | ID |
Addresses
Primary practice location
815 W College St Ste B
Bozeman, MT 59715-5029
Mailing address
815 W College St Ste B
Bozeman, MT 59715-5029
Phone (406) 587-8333
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2017. 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.