DR. DAVID J ANDERSON (O.D.) – Optometrist, NPI 1891747259

DR. DAVID J ANDERSON (O.D.) is a healthcare provider. based in Freeport, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. DAVID J ANDERSON (O.D.) is 1891747259

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID J ANDERSON (O.D.)
NPI
1891747259
Phone
(815) 232-3057
Address
555 W SOUTH ST
Enumeration Date
16 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8155473456
Graduation Year
1977 (49 years ago)
PAC ID
7113939026
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20060614000191
Address ID
IL610089303BE1918XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. DAVID J ANDERSON (O.D.)

  • 555, West South Street, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610326792

    Phone: (815) 232-3057

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-06-14

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
I20060614000191IOptometryILTBD

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 system7069$0
View full utilization report →

Insurance plans in this area (ZIP 61032)

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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: 1456684471View full group profile

Reviews

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Frequently asked questions

How do I look up DR. DAVID J ANDERSON (O.D.) by NPI?
Use NPI 1891747259 when you need to reference DR. DAVID J ANDERSON (O.D.) in forms, claims, or directories.
Is DR. DAVID J ANDERSON (O.D.) currently active in the NPI registry?
CMS-published data lists DR. DAVID J ANDERSON (O.D.) as an active registrant.
What kind of provider is DR. DAVID J ANDERSON (O.D.)?
The page reflects Optometrist for DR. DAVID J ANDERSON (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DAVID J ANDERSON (O.D.)?
The snapshot lists Freeport, Illinois for DR. DAVID J ANDERSON (O.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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