Dennis Leland Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001580AB Issued in IN

Practice address

100 E 12TH St
Jeffersonville, IN 47130-3834

Phone

(812) 288-7179

NPI assigned

Oct 5, 2005

Last updated

Mar 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dennis Leland Anderson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dennis Anderson OD

  • Optometrist
  • Jeffersonville, IN
  • NPI 1548498991
  NPD (past) Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1891782710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 12TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303834",
            "telephone_number": "812-288-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 12TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303834",
            "telephone_number": "812-288-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DENNIS",
        "middle_name": "LELAND",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001580AB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "ANDERSON",
            "middle_name": "LELAND",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• American Hospice & Palliative Care, Inc.
• Bardia Amirlak, MD
• Amr Surgical Assisting Corp
• Akeia Anderson
• Anitalynn M Anderson, APRN
• Joy A. Anderson, LCSW
• Lisa Anderson
• Lynette E. Anderson, LCADC, CSW, CBIS
• Robin M Anderson
• Tracie L Anderson, LCSW

• Optometrist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.