DR. JEFFREY B ANDERSON O.D. NPI 1619964855

NPI Information

  • NPI: 1619964855
  • Provider Name: DR. JEFFREY B ANDERSON, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 602 LEGION DR
    MONTEVIDEO, MN
    ZIP 56265
  • Phone: (320) 269-8182

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NPI Details

DR. Jeffrey B Anderson, O.D. is an optometrist in Montevideo, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Jeffrey B Anderson, O.D. NPI is 1619964855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

602 LEGION DR
MONTEVIDEO, MN
ZIP 56265-709
Phone: (320) 269-8182
Fax: (320) 269-5868

The NPI 1619964855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Imaging of optic nerve (HCPCS:92133)
  • Imaging of retina (HCPCS:92134)
  • Photography of the retina (HCPCS:92250)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 10/3/2005 and was last updated on 12/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist1614MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1419000354OTHERHUMANA
25C004ANOTHERMINNESOTABCBS OPTICAL ONLY
3419000354MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
4410009076MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
52214650OTHERMEDICA
60340410001MEDICARE NSC
7HP21877OTHERHEALTH PARTNERS
844020ANOTHERMINNESOTABLUE CROSS AND BLUE SHIEL
9T65239MEDICARE UPINMINNESOTA
10715581024800OTHERMINNESOTAPREFERRED ONE
11419000354OTHERUNICARE
12334723100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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