ANDERSEN EYE ASSOCIATES, PLC
NPI 1124106489
Eyewear Supplier in Saginaw, MI
About Andersen Eye Associates, Plc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDERSEN EYE ASSOCIATES, PLC (NPI 1124106489) is a healthcare organization registered as an eyewear supplier in Saginaw, Michigan and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Sue Gardner, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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)
Andersen Eye Associates, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Andersen Eye Associates, Plc, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2330771
Andersen Eye Associates, Plc · Saginaw, MIFrequently 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 Andersen Eye Associates, Plc's NPI number?
The NPI number for Andersen Eye Associates, Plc is 1124106489. It was assigned to this organization in the NPPES registry on November 2, 2006.
Where is Andersen Eye Associates, Plc located?
Andersen Eye Associates, Plc is located at 5161 Cardinal Park Drive, Saginaw, MI 48604. The listed phone number is (989) 249-8853.
What is Andersen Eye Associates, Plc's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Andersen Eye Associates, Plc enrolled in Medicare?
Yes. Andersen Eye Associates, Plc is registered in the Medicare PECOS enrollment system.
When is Andersen Eye Associates, Plc'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 (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Andersen Eye Associates, Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Andersen Eye Associates, Plc. 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. The largest specialties are Ophthalmology (9) and Optometry (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Andersen Eye Associates, Plc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2330771) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Andersen Eye Associates, Plc accept?
Health plans from Priority Health list Andersen Eye Associates, Plc 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 Andersen Eye Associates, Plc was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Andersen Eye Associates, Plc · NPI 1124106489
Eyewear Supplier organization in Saginaw, Michigan. Organization record, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1124106489 (Entity type: Organization)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Sue Gardner, BILLING MANAGER
## Practice location
- **Address:** 5161 CARDINAL PARK DRIVE, Saginaw, MI 48604-9435
- **Phone:** (989) 249-8853 · **Fax:** (989) 249-8842
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (9), Optometry (3); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2011
- **Other identifiers:** Medicare NSC 1056440001 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124106489) · Data from the CMS NPPES public registry.