ANDERSEN EYE ASSOCIATES, PLC - NPI 1124106489 - Eyewear Supplier in Saginaw, MI

Q: What is the provider's specialty?

The provider's specialty is Eyewear Supplier with taxonomy code 332H00000X.

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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

NPI1124106489

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameANDERSEN EYE ASSOCIATES, PLC

Location Address5161 CARDINAL PARK DRIVESaginaw, MI 48604-9435

Mailing AddressPo Box 5649Saginaw, MI 48603-0649 · (989) 249-8853 · Fax (989) 249-8842

Phone(989) 249-8853

Fax(989) 249-8842

Organization SubpartNo

Authorized OfficialSue GardnerBilling Manager · (989) 249-8853

Enumeration DateNovember 2, 2006

Last NPPES UpdateApril 13, 2011

✔ NPI 1124106489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

5161 CARDINAL PARK DRIVE, Saginaw, MI 48604

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Other Identifiers 1

Medicare NSC1056440001MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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, MI

Active · expires Sep 22, 2027

CLIA Number23D2330771

Laboratory TypePhysician Office

Certificate Effective DateSeptember 23, 2025

Certificate Expiration DateSeptember 22, 2027

Laboratory DirectorAlicia O Connor

Laboratory Phone(989) 341-7170

Laboratory LocationAndersen Eye Associates, Plc5161 Cardinal Park Drive, Saginaw, MI 48604

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAFIQ QURBAN JIVANJEE MD

Ophthalmology