KATHLEEN M. ANDERSEN, O.D., INC.
NPI 1043439821
Optometrist in Rancho Santa Margarita, CA

Q: What is Kathleen M. Andersen, O.D., Inc.'s NPI number?

The NPI number for Kathleen M. Andersen, O.D., Inc. is 1043439821. It was assigned to this organization in the NPPES registry on April 24, 2007.

Q: What is Kathleen M. Andersen, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since April 24, 2007

22312 EL PASEO STE D, RANCHO SANTA MARGARITA, CA 92688(949) 589-6171(949) 589-0657 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kathleen M. Andersen, O.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN M. ANDERSEN, O.D., INC. (NPI 1043439821) is a healthcare organization registered as an optometrist in Rancho Santa Margarita, California and active in the NPI registry since April 2007. The organization lists Kathleen Marie Andersen, President, as its authorized official.

NPPES Registry Identity

NPI1043439821

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKATHLEEN M. ANDERSEN, O.D., INC.

Location Address22312 EL PASEO STE DRancho Santa Margarita, CA 92688-5803

Mailing Address22312 El Paseo Ste DRancho Santa Margarita, CA 92688-5803 · (949) 589-6171 · Fax (949) 589-0657

Phone(949) 589-6171

Fax(949) 589-0657

Organization SubpartNo

Authorized OfficialKathleen Marie AndersenPresident · (949) 589-6171

Enumeration DateApril 24, 2007

Last NPPES UpdateDecember 5, 2012

✔ NPI 1043439821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 8187T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

22312 EL PASEO STE D, Rancho Santa Margarita, CA 92688

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Other Identifiers 1

Medicare PINGS760ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen M. Andersen, O.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20070501000711Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kathleen M. Andersen, O.D., Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kathleen Andersen, O.D.

Optometry

NPI 1881747962

22312 EL PASEO SUITE D
Rancho Santa Margarita, CA 92688

(949) 589-6171

✔ PECOS0.1 mi

Jacqueline Tran, O.D.

Optometry

NPI 1942793336

22312 EL PASEO STE D
Rancho Santa Margarita, CA 92688

(495) 896-1719

✔ PECOS✔ Accepts Medicare0.1 mi

Shahrzad Yazdan, OD

Optometry

NPI 1477127249

30505 AVENIDA DE LAS FLORES STE A
Rancho Santa Margarita, CA 92688

(949) 742-1063

✔ PECOS0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen M. Andersen, O.D., Inc.'s NPI number?

The NPI number for Kathleen M. Andersen, O.D., Inc. is 1043439821. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Kathleen M. Andersen, O.D., Inc. located?

Kathleen M. Andersen, O.D., Inc. is located at 22312 El Paseo Ste D, Rancho Santa Margarita, CA 92688. The listed phone number is (949) 589-6171.

What is Kathleen M. Andersen, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kathleen M. Andersen, O.D., Inc. enrolled in Medicare?

Yes. Kathleen M. Andersen, O.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Kathleen M. Andersen, O.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kathleen M. Andersen, O.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Kathleen M. Andersen, O.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kathleen M. Andersen, O.D., Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Kathleen M. Andersen, O.D., Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen M. Andersen, O.D., Inc. was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.