R Dale Anderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1153T Issued in GA

Practice address

1544 Southlake Pkwy
Suite 9-B
Morrow, GA 30260-3025

Phone

(770) 961-9090

NPI assigned

Nov 29, 2006

Sex

Male

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 GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danderson@teg.emadirect.md

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.

• Thomas Eye Group PC

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1548271992

  GA, Optometrist

  Medicare reassignment Care Compare group NPD
• Thomas Eye Group PC

  • Optometrist
  • Stone Mountain, GA
  • NPI 1043032840
  NPD
• Thomas Eye Group PC

  • Optometrist
  • Morrow, GA
  • NPI 1194481606
  NPD
• Hamilton Mill Eyecare Inc.

  • Optometrist
  • Buford, GA
  • NPI 1548354392
  NPD (past)
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Buford, GA
  • NPI 1427999838
  NPD (past)

Specialty

Optometry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Eye Group PC 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992872295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HERRING RIDGE CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 SOUTHLAKE PKWY",
            "address_2": "SUITE 9-B",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603025",
            "telephone_number": "770-961-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "R",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1153T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amedisys Georgia, L.L.C.
• America'S Best Contacts & Eyeglasses
• American Current Care PA
• American Current Care PA
• Felix W Amoa-Bonsu, MD
• Tosha Shamease Anderson, D.MIN
• Anointed Touch Healthcare Services, Inc
• Anytime First Call NP LLC
• Arnand Comprehensive Eye Care LLC
• Sophia Marie Artist, RN

• All providers in Morrow, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.