David J Anderson, O.D.
Individual provider Active NPI Optometrist · Freeport, IL
NPI 1891747259 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1891747259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- Practice address
- 555 W South St
Freeport, IL 61032-6792 - Phone
- (815) 232-3057
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shoptikal LLC
Practice addresses (Care Compare)
1524 S W Ave
Freeport, IL 61032-6702
Phone (815) 232-3057
1918 Gateway Ctr Dr
Belvidere, IL 61008-9303
Phone (815) 547-3456
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20060614000191 | IL | Practitioner - Optometry | 7113939026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046006938 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current |
Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current |
Accepting new patients |
Locations
1918 Gateway Center Dr
Belvidere, IL 61008
Phone (815) 547-3456
1350 N Galena Ave
#119
Dixon, IL 61021
Phone (815) 284-3935
555 W South St
Freeport, IL 61032
Phone (815) 232-2724
1964 W Morton Ave
Jacksonville, IL 62650
Phone (217) 245-6070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Yes |
Addresses
Primary practice location
555 W South St
Freeport, IL 61032-6792
Mailing address
555 W South St
Freeport, IL 61032-6792
Phone (815) 232-3057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0154160237 | Other | IL | SHOPKO |
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.