Laura Elizabeth Anderson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13804 Issued in CA

Practice address

1524 Eureka Rd
Suite 100
Roseville, CA 95661-2850

Phone

(916) 783-7696

Fax

(916) 783-4199

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laura Elizabeth Wofford Former name

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fyidoctors of California IncGroup PAC ID 3577961572, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.anderson@direct.revolutionehr.com

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.

• Fyidoctors of California, Inc.

  • Optometrist
  • Roseville, CA
  • NPI 1437718418
  Medicare reassignment Care Compare group NPD
• Brent P. Chinn, OD and David M. Redman, OD, Optometric Group, Inc

  • Optometrist
  • Mountain View, CA
  • NPI 1538497540
  NPD (past)
• North Lake Eyecare Optometry

  • Optometrist
  • Tahoe City, CA
  • NPI 1447580360
  NPD (past)
• Paris E. Royo, MD Inc

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1689755498
  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1962632372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 EUREKA RD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612850",
            "telephone_number": "916-783-7696",
            "fax_number": "916-783-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 EUREKA RD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612850",
            "telephone_number": "916-783-7696",
            "fax_number": "916-783-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "13804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WOFFORD",
            "middle_name": "ELIZABETH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Carin Anderson, DO
• Donald Alan Anderson, PHARM.D.
• Glenn R Anderson, MFTI
• Kevin R. Anderson, MD
• Kreston Anderson, DDS
• Tyrell Anderson
• Yvette Anderson
• Hannah Andosca
• Jason Andrade
• Andrea Conner Marriage and Family Therapy Corp

• Optometrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.