DR. JOSEPH LEIF ANDERSEN (OD) – Optometrist, NPI 1093791386

DR. JOSEPH LEIF ANDERSEN (OD) is a healthcare provider. based in Lilburn, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1432 (GA). The NPI Number for DR. JOSEPH LEIF ANDERSEN (OD) is 1093791386

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH LEIF ANDERSEN (OD)
NPI
1093791386
Phone
(770) 921-4707
Address
4319 LAWRENCEVILLE HWY NW
Enumeration Date
19 December 2005
Last Update Date
26 October 2015

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
7709214707
Graduation Year
1994 (32 years ago)
PAC ID
8426167529
Group Practice PAC ID
5193732949
Professional Enrollment ID
I20121030000328
Address ID
GA300472854LI4153XNWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. JOSEPH LEIF ANDERSEN (OD)

  • 4319, Lawrenceville Highway, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States

    LILBURN, GA 300473416

    Phone: (770) 921-4707

    Fax: (770) 925-8973

    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 12 Open Payments records for all available years, with a total value of $757.

Total Amount is formed as General ($757) + Research ($0) + Ownership ($0) = $757.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: CooperVision Inc. ($607).

Total Amount

$757

General + Research + Ownership

Payments

12

Total payment records

General Amount

$757

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-30

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
I20121030000328IOptometryGATBD

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
92014Established patient complete exam of visual system125123$0
99213Established patient office or other outpatient visit, 20-29 minutes5340$0
View full utilization report →

Insurance plans in this area (ZIP 30047)

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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: 5193732949View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YTX
O P T O M E T R YGA
O P T O M E T R YGA
-GA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What identifier follows DR. JOSEPH LEIF ANDERSEN (OD) across health systems?
The NPI 1093791386 uniquely identifies DR. JOSEPH LEIF ANDERSEN (OD) in U.S. healthcare data.
Does the public listing show DR. JOSEPH LEIF ANDERSEN (OD) as active?
DR. JOSEPH LEIF ANDERSEN (OD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. JOSEPH LEIF ANDERSEN (OD) does?
Insurance directories may phrase it differently, but here DR. JOSEPH LEIF ANDERSEN (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JOSEPH LEIF ANDERSEN (OD) tied to Lilburn, Georgia?
If you are local to Lilburn, Georgia, DR. JOSEPH LEIF ANDERSEN (OD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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