Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Andrew R Anderson, OD

Optometrist in Mishawaka, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104854942

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Registry record

Entity type Individual (Type 1)

Name Dr. Andrew R Anderson

Credential OD

Sex Male

Practice address 230 E Day Rd, 100, Mishawaka, IN, 46545

Phone (574) 271-3939

Fax (574) 271-3941

Enumeration date Jun 29, 2006

Last updated in NPPES Jul 17, 2013

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 18003399A (IN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
1104854942	Other	IN	NPI
200828350	Medicaid	IN	-
18003399A	Other	IN	INDIANA LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Andrew Anderson?

The National Provider Identifier (NPI) for Andrew Anderson is 1104854942, a Type 1 (individual) record in the CMS NPPES registry.

Where does Andrew Anderson practice?

The practice location on file with NPPES is in Mishawaka, IN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-17.