AUSTIN ANDERSON (OD) – Optometrist, NPI 1063068328

AUSTIN ANDERSON (OD) is a healthcare provider. based in Wasilla, Alaska. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 147991 (AK). The NPI Number for AUSTIN ANDERSON (OD) is 1063068328

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN ANDERSON (OD)
NPI
1063068328
Phone
(079) 376-2020
Address
4505 E GREENSTREET CIR
Enumeration Date
13 August 2019
Last Update Date
6 October 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9073762020
Graduation Year
2018 (8 years ago)
PAC ID
7911330766
Group Practice PAC ID
7012032949
Professional Enrollment ID
I20191209001311
Address ID
AK996548425WA4505XCIRX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

146 OPTOMETRY in AK

Provider Addresses for AUSTIN ANDERSON (OD)

  • 4505 E GREENSTREET CIR

    WASILLA, AK 996548425

    Phone: (079) 376-2020

    Fax: (907) 357-3937

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,635.

Total Amount is formed as General ($1,635) + Research ($0) + Ownership ($0) = $1,635.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($410).

Total Amount

$1,635

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,635

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191209001311IOptometryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92083Exam of visual field with extended testing325263$0
92134Imaging of retina299260$0
92133Imaging of optic nerve252205$0
92014Established patient complete exam of visual system250248$0
99213Established patient office or other outpatient visit, 20-29 minutes148112$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012032949View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P H T H A L M O L O G YAK
O P T O M E T R YKY
O P T O M E T R YAK
O P H T H A L M O L O G YAK
O P T O M E T R YAK
O P T O M E T R YKY
O P T O M E T R YAK

Reviews

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Frequently asked questions

Is there an official ID for AUSTIN ANDERSON (OD) in U.S. healthcare records?
The official identifier for AUSTIN ANDERSON (OD) is NPI 1063068328.
Is AUSTIN ANDERSON (OD) still an active registrant?
AUSTIN ANDERSON (OD) carries an active NPI according to the public dataset.
What kind of doctor is AUSTIN ANDERSON (OD)?
AUSTIN ANDERSON (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Alaska is AUSTIN ANDERSON (OD) registered?
Use Wasilla, Alaska as the headline location for AUSTIN ANDERSON (OD) here.
When was this NPI issued?
Enumeration for AUSTIN ANDERSON (OD) is noted as August 13, 2019 where the registry provides it.

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