Active NPI
Jon Allen Anders, O.D.
- Optometrist
- Sherman, TX
National Provider Identifier
1861557233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3003-T
- Practice address
- 2001 N Loy Lake Rd
#A
Sherman, TX 75090-2839 - Phone
- (903) 868-1712
- Fax
- (903) 891-9373
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3003-T | TX | Primary |
Addresses
Primary practice location
2001 N Loy Lake Rd
#A
Sherman, TX 75090-2839
Mailing address
2001 N Loy Lake Rd
#A
Sherman, TX 75090-2839
Phone (903) 868-1712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E50N | Other | TX | BLUE CROSS BLUE SHIELD TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003-T | TX | MD | Optometrist |
| 3003 | TX | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861557233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N LOY LAKE RD",
"address_2": "#A",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750902839",
"telephone_number": "903-868-1712",
"fax_number": "903-891-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N LOY LAKE RD",
"address_2": "#A",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750902839",
"telephone_number": "903-868-1712",
"fax_number": "903-891-9373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "JON",
"middle_name": "ALLEN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3003-T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "E50N",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.