DR. GARY ALFRED ANDERSON (NPI# 1851402614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851402614 |
| Entity Type | Individual |
| Full Name | DR. GARY ALFRED ANDERSON |
| Credential | O.D. |
| Practice Address |
55 Campau Ave Nw Riverfront Plaza Bldg Suite 10 Grand Rapids MI 49503-2642 |
| Practice Telephone | 6164597380 |
| Practice Fax Number | 6164595752 |
| Mailing Telephone | 6164597380 |
| Mailing Fax Number | 6164595752 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002731 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 900D114640 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548621329 | Gary J Anderson | Non-emergency Medical Transport (VAN) | 120 Odessa Rd, Duson, LA 70529-4437 | 2016-03-08 |
| 1699010983 | Gary B Anderson | Internal Medicine | 1892 Brigadoone Ln, Florence, SC 29505-3235 | 2012-11-28 |
| 1588912489 | Gary Wayne Anderson | Pharmacist | 1041 York St, Aiken, SC 29801-4025 | 2012-08-27 |
| 1538348974 | Gary D Anderson | Pharmacist | 93 Montcalm St, Ticonderoga, NY 12883-1343 | 2007-11-02 |
| 1104970706 | Gary D Anderson | Dentist | 1625 Highway 88, Suite 204, Minden, NV 89423 | 2007-01-22 |
| 1851482152 | Gary C Anderson | Dentist | 2500 Como Avenue - Ms 31100a, Health Partners Como Clinic, St Paul, MN 55108-1460 | 2006-09-28 |
| 1972521300 | Gary Ernest Anderson | Chiropractor | 3307 Miller, Bethany, MO 64424 | 2006-07-17 |
| 1447243175 | Gary D. Anderson | Emergency Medicine | 6219 Exchange St, Mc Farland, WI 53558-9241 | 2005-08-29 |
| 1467089656 | Gary Owen Anderson | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-26 |
| 1457740730 | Gary Steven Anderson | Social Worker | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2015-01-09 |
| Street Address |
55 CAMPAU AVE NW RIVERFRONT PLAZA BLDG SUITE 10 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801064837 | Anderson Eye Care, LLC | Optometrist | 55 Campau Ave Nw, Riverfront Plaza Bldg-suite #10, Grand Rapids, MI 49503-2642 | 2008-02-12 |
| 1548396294 | Lisa Marie Sladek | Optometrist | 55 Campau Ave Nw, Suite 10, Grand Rapids, MI 49503-2642 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1659997252 | Peter Silman | Optometrist | 3152 Peregrine Dr Ne # C205, Grand Rapids, MI 49525-9723 | 2020-06-19 |
| 1821613225 | Adam Hoffhines | Optometrist | 3159 28th St Se, Grand Rapids, MI 49512-7810 | 2020-06-11 |
| 1184283285 | Carrie Mitera | Optometrist | 1712 Timberlane Ln Ne, Grand Rapids, MI 49505-4442 | 2019-06-12 |
| 1366934879 | Maxwell Edward Rennaker | Optometrist | 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525-6516 | 2018-05-31 |
| 1750830261 | Rx Optical Laboratories, Inc | Optometrist | 2000 E Beltline Ave Ne, Grand Rapids, MI 49525-9716 | 2016-09-26 |
| 1851759716 | Premier Family Eye Care PC. | Optometrist | 6748 Kalamzoo Ave S.e, Grand Rapids, MI 49508-7032 | 2016-02-08 |
| 1093198483 | I Care Optics LLC | Optometrist | 2425 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4652 | 2015-07-02 |
| 1891103818 | Adeline Bauer | Optometrist | 1000 E Paris Ave Se Ste 130, Grand Rapids, MI 49546-3680 | 2014-07-23 |
| 1790106136 | Rx Optical Laboratories, Inc. | Optometrist | 1844 Breton Rd Se, Grand Rapids, MI 49506-4869 | 2014-01-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DR. GARY ALFRED ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.