DR. CHAD O ANDERSON (O.D.) – Optometrist, NPI 1215265012
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
Provider Addresses for DR. CHAD O ANDERSON (O.D.)
5532 W HERRIMAN MAIN ST STE 120
HERRIMAN, UT 840965830
Phone: (801) 302-3080
Fax: (801) 302-8008
Type: Mailing
2250, Northwest Lovejoy Street, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972103020
Phone: (503) 719-5179
Fax: (971) 302-6934
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $2,522.
Total Amount is formed as General ($2,522) + Research ($0) + Ownership ($0) = $2,522.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: CooperVision Inc. ($2,276).
Total Amount
$2,522
General + Research + Ownership
Payments
21
Total payment records
General Amount
$2,522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141120002604 | I | Optometry | OR | TBD |
| I20220822001843 | I | Optometry | UT | TBD |
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.
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 84096)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | UT | |
| O P T O M E T R Y | UT |
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