DR. MATTHEW JAMES ANDERSON (O.D.) – Optometrist, NPI 1750398145

DR. MATTHEW JAMES ANDERSON (O.D.) is a healthcare provider. based in Mountain home, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2479 (OK). The NPI Number for DR. MATTHEW JAMES ANDERSON (O.D.) is 1750398145

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW JAMES ANDERSON (O.D.)
NPI
1750398145
Phone
(423) 926-1171
Address
50 VETERANS WAY
Enumeration Date
1 August 2006
Last Update Date
30 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889646681
Graduation Year
2006 (20 years ago)
PAC ID
2860491461
Group Practice PAC ID
7719870807
Professional Enrollment ID
I20250820002636
Address ID
IN462041904IN201XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. MATTHEW JAMES ANDERSON (O.D.)

  • 50 VETERANS WAY

    MOUNTAIN HOME, TN 37684

    Phone: (423) 926-1171

    Type: Location

  • 1900, Villa Court, Gray, Washington County, East Tennessee, Tennessee, 37615, United States

    JOHNSON CITY, TN 376154590

    Phone: (231) 690-1370

    Type: Mailing

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: 2025-08-20

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
I20250820002636IOptometryINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37684)

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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: 7719870807View full group profile
NameSpecialtyState
-IN
O P T O M E T R YPA
O P T O M E T R YIN
O P T O M E T R YNJ
O P T O M E T R YVA
O P T O M E T R YNC
O P T O M E T R YRI
O P T O M E T R YKY
O P T O M E T R YPA
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is DR. MATTHEW JAMES ANDERSON (O.D.)'s NPI number?
DR. MATTHEW JAMES ANDERSON (O.D.)'s NPI is 1750398145 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MATTHEW JAMES ANDERSON (O.D.)?
For scheduling context, DR. MATTHEW JAMES ANDERSON (O.D.) is shown as active in the registry.
What area of care is associated with DR. MATTHEW JAMES ANDERSON (O.D.)?
DR. MATTHEW JAMES ANDERSON (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MATTHEW JAMES ANDERSON (O.D.) associated with Mountain Home?
Public fields place DR. MATTHEW JAMES ANDERSON (O.D.) around Mountain Home, Tennessee. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.