DR. JEREMY WADE ANDERSON (OD) – Optometrist, NPI 1063405256

DR. JEREMY WADE ANDERSON (OD) is a healthcare provider. based in Manchester, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2431 (TN). The NPI Number for DR. JEREMY WADE ANDERSON (OD) is 1063405256

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY WADE ANDERSON (OD)
NPI
1063405256
Phone
(931) 728-1315
Address
1642 MCARTHUR ST
Enumeration Date
24 August 2005
Last Update Date
14 January 2013

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9317281315
Graduation Year
2003 (23 years ago)
PAC ID
3072587377
Group Practice PAC ID
0446576359
Professional Enrollment ID
I20040823001071
Address ID
TN373552522MA1642XSTXX300
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

957 OPTOMETRY in TN

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Provider Addresses for DR. JEREMY WADE ANDERSON (OD)

  • 1642, McArthur Street, Glenview, Manchester, Coffee County, Middle Tennessee, Tennessee, 37355, United States

    MANCHESTER, TN 373552522

    Phone: (931) 728-1315

    Fax: (931) 728-1779

    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 6 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($34).

Total Amount

$133

General + Research + Ownership

Payments

6

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2004-08-23

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
I20040823001071IOptometryTNTBD

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
66984Removal of cataract with insertion of prosthetic lens4,17231$0
92014Established patient complete exam of visual system323314$0
92133Imaging of optic nerve119104$0
92134Imaging of retina110102$0
99214Established patient office or other outpatient visit, 30-39 minutes8355$0
View full utilization report →

Insurance plans in this area (ZIP 37355)

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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: 0446576359View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. JEREMY WADE ANDERSON (OD)?
The federal identifier for DR. JEREMY WADE ANDERSON (OD) is NPI 1063405256.
Does this profile mean DR. JEREMY WADE ANDERSON (OD) is currently active?
Yes — DR. JEREMY WADE ANDERSON (OD) appears active in the national provider directory.
Does DR. JEREMY WADE ANDERSON (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. JEREMY WADE ANDERSON (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JEREMY WADE ANDERSON (OD)?
The page summarizes Manchester, Tennessee for DR. JEREMY WADE ANDERSON (OD); expand the address list for detail.
Is DR. JEREMY WADE ANDERSON (OD) a real provider?
This page reflects official NPPES data for NPI 1063405256. Always confirm identity and privileges with the practice and licensing boards.

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