Individual provider Active NPI

Lauren Anderson, OD

  • Optometrist
  • Cameron Park, CA
National Provider Identifier
1871179366
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34783 Issued in CA
Practice address
3450 Palmer Dr Ste 5
Cameron Park, CA 95682-8273
Phone
(530) 672-0151
NPI assigned
Mar 23, 2021
Last updated
Oct 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34783 CA Primary

Addresses

Primary practice location

3450 Palmer Dr Ste 5
Cameron Park, CA 95682-8273

Mailing address

3450 Palmer Dr Ste 5
Cameron Park, CA 95682-8273
Phone (530) 672-0151

Other practice location 1

2390 E Bidwell St
Folsom, CA 95630-3872
Phone (916) 983-6211

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210422001305 CA Practitioner - Optometry 8123436631 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Lauren Anderson OD Inc.Group PAC ID 9638693401, 2 clinicians

Practice addresses (Care Compare)

3450 Palmer Dr
Suite 5
Cameron Park, CA 95682-8273
Phone (530) 672-0151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34783CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Dr. Lauren Anderson .OD., Inc. Optometrist CurrentSince Feb 15, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 18, 2022 Accepting new patients
Steven Hoffman OD Inc Optometrist CurrentSince Jan 12, 2025 Accepting new patients
Permanente Medical Group Inc CurrentSince Jan 18, 2022 Accepting new patients
Genevieve Kim Corrigan OD Inc Optometrist CurrentSince Apr 21, 2021 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3450 Palmer Dr
Ste 5
Cameron Park, CA 95682
Phone (530) 672-0151

2209 Francisco Dr
Ste 150
El Dorado Hills, CA 95762
Phone (916) 933-5335

2390 E Bidwell St
Folsom, CA 95630
Phone (916) 983-6211

2390 E Bidwell St
Ste 400
Folsom, CA 95630
Phone (916) 983-6211

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1011 Riverside Ave
Roseville, CA 95678
Phone (916) 746-3590

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 7

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1871179366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 PALMER DR STE 5",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828273",
            "telephone_number": "530-672-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 PALMER DR STE 5",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828273",
            "telephone_number": "530-672-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 E Bidwell St",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303872",
            "country_code": "US",
            "telephone_number": "916-983-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LAUREN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Riverside Ave",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956785134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.