Dr. Katherine Reed Anderson, OD
Optometrist in Detroit, MI. Individual provider (NPI-1).
NPI number1124500699
StatusActive
Last updated in NPPESAug 31, 2018
Details
- NPI
- 1124500699
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katherine Reed Anderson
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2018
- Last updated
- Aug 31, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901005157 | MI | Yes |
Practice location
87 Monroe StDetroit, MI 48226-2855
Phone 313-965-2740
Mailing address
15 E Kirby St Apt 314Detroit, MI 48202-4039
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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