MRS. PATRICIA ANDERSON (O.D.) – Optometrist, NPI 1063601128

MRS. PATRICIA ANDERSON (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. WY222T (WY). The NPI Number for MRS. PATRICIA ANDERSON (O.D.) is 1063601128

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PATRICIA ANDERSON (O.D.)
NPI
1063601128
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD
Enumeration Date
15 October 2007
Last Update Date
27 September 2014

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2485282116
Graduation Year
1992 (34 years ago)
PAC ID
0143548792
Group Practice PAC ID
5991145112
Professional Enrollment ID
I20150413000530
Address ID
GA300922987NO40XXXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for MRS. PATRICIA ANDERSON (O.D.)

  • 1950 OLD GALLOWS RD

    SUITE 520

    VIENNA, VA 221823990

    Phone: (703) 847-8899

    Fax: (703) 991-0514

    Type: Mailing

  • 2003 COMMERCE DR

    KINGSLAND, GA 315486767

    Phone: (912) 882-3040

    Fax: (912) 882-3786

    Type: Location

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: 2015-04-13

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
I20150413000530IOptometryGATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes593368$0
92250Photography of the retina328312$0
92004New patient complete exam of visual system158158$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3833$0
92002New patient problem focused exam of visual system1616$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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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: 5991145112View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YTN
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. PATRICIA ANDERSON (O.D.)?
NPI 1063601128 is assigned to MRS. PATRICIA ANDERSON (O.D.) under the national enumeration system.
Does this profile mean MRS. PATRICIA ANDERSON (O.D.) is currently active?
Yes — MRS. PATRICIA ANDERSON (O.D.) appears active in the national provider directory.
What kind of provider is MRS. PATRICIA ANDERSON (O.D.)?
The page reflects Optometrist for MRS. PATRICIA ANDERSON (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for MRS. PATRICIA ANDERSON (O.D.)?
We surface Vienna, Virginia for MRS. PATRICIA ANDERSON (O.D.) based on available NPPES addresses.
What if Vienna, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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