Alyssa K. Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011212 Issued in IL

Practice address

4600 - 30TH Street
Rock Island, IL 61201-7038

Phone

(309) 788-5524

Fax

(309) 788-9550

NPI assigned

Jul 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virdi Eye Clinic of Iowa PCGroup PAC ID 4880686567, 4 clinicians

Prem S Virdi MD PCGroup PAC ID 7113963950, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aanderson@virdi.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prem S Virdi MD PC

  • Ophthalmology Physician
  • Rock Island, IL
  • NPI 1811950892

  Optometrist

  Medicare reassignment Care Compare group NPD
• Virdi Eye Clinic of Iowa, P.C.

  • Ophthalmology Physician
  • Muscatine, IA
  • NPI 1538139357
  Medicare reassignment Care Compare group
• Virdi Eye Clinic of Iowa

  • Ophthalmology Physician
  • Clinton, IA
  • NPI 1992003677
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1942786249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 - 30TH STREET",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017038",
            "telephone_number": "309-788-5524",
            "fax_number": "309-788-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 - 30TH STREET",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612017038",
            "telephone_number": "309-788-5524",
            "fax_number": "309-788-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALYSSA",
        "middle_name": "K.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha and Omega Medical Inc.
• Anitza Alvarado, RN
• Amedisys Illinois LLC
• Amy C Senh DDS LTD
• Anchor Home Care, Inc
• Angela Marie Anderson
• Darcy Jean Anderson, PA-C
• Evelyn Ann Anderson
• Jacob Matthew Anderson, DPT
• Jeramie Anderson

• Optometrist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.