| Dr Chad O Anderson, OD | |
| 
					5532 W Herriman Main St Ste 120, Herriman, UT 84096-5830  | |
| (801) 302-3080 | |
| (801) 302-8008 | 
| Full Name | Dr Chad O Anderson | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 5532 W Herriman Main St Ste 120, Herriman, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215265012 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OD60169464 (Washington) | Secondary | 
| 152W00000X | Optometrist | 5896708-9934 (Utah) | Primary | 
| 152W00000X | Optometrist | 3567ATI (Oregon) | Secondary | 
| Provider Name | Spectacle Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1376951293 PECOS PAC ID: 7214250844 Enrollment ID: O20150106001354  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Chad O Anderson, OD 5532 W Herriman Main St Ste 120, Herriman, UT 84096-5830 Ph: (801) 302-3080  | Dr Chad O Anderson, OD 5532 W Herriman Main St Ste 120, Herriman, UT 84096-5830 Ph: (801) 302-3080  | 
Family Focused Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5528 W 13400 S, Herriman, UT 84096 Phone: 801-302-3080 Fax: 801-302-8008  | |
Dr. Paul Hulet, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5528 W 13400 S, Herriman, UT 84096 Phone: 801-302-3080 Fax: 801-302-8008  |