DUSTIN WILLIAM ANDERSON – Optometrist, NPI 1821640517

DUSTIN WILLIAM ANDERSON is a healthcare provider. based in Overland, Missouri. specializing in OPTOMETRY. They hold a License No. 2019021861 (MO). The NPI Number for DUSTIN WILLIAM ANDERSON is 1821640517

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN WILLIAM ANDERSON
NPI
1821640517
Phone
(314) 227-1132
Address
9082 OVERLAND PLZ
Enumeration Date
12 July 2019
Last Update Date
7 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6367171700
Graduation Year
2019 (7 years ago)
PAC ID
3476889544
Group Practice PAC ID
0042375941
Professional Enrollment ID
I20190726001140
Address ID
MO630262384FE1011XAVEX336
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

863 OPTOMETRY in MO

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Provider Addresses for DUSTIN WILLIAM ANDERSON

  • Øverland, Haukelivegen, Tveitegrend, Vinje, Vestfold og Telemark, Norway

    OVERLAND, MO 631146122

    Phone: (314) 227-1132

    Fax: (314) 227-1133

    Type: Location

  • 1011 BOWLES AVE STE 200

    FENTON, MO 630262384

    Phone: (636) 717-1700

    Fax: (636) 203-4727

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753207158

    Phone: (636) 200-4393

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $654.

Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: CooperVision Inc. ($331).

Total Amount

$654

General + Research + Ownership

Payments

27

Total payment records

General Amount

$654

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2019-07-26

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
I20190726001140IOptometryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 63114)

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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: 0042375941View full group profile
NameSpecialtyState
-MO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P H T H A L M O L O G YOK

Reviews

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Frequently asked questions

How do I look up DUSTIN WILLIAM ANDERSON by NPI?
Use NPI 1821640517 when you need to reference DUSTIN WILLIAM ANDERSON in forms, claims, or directories.
Is DUSTIN WILLIAM ANDERSON currently active in the NPI registry?
CMS-published data lists DUSTIN WILLIAM ANDERSON as an active registrant.
Does DUSTIN WILLIAM ANDERSON list a primary specialty?
If you are matching referrals, note Optometrist for DUSTIN WILLIAM ANDERSON. Clinical services aligned with this taxonomy classification.
What location metadata exists for DUSTIN WILLIAM ANDERSON?
The page summarizes Overland, Missouri for DUSTIN WILLIAM ANDERSON; expand the address list for detail.
What if Overland, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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