P Praxis·MD
● Active Type 1 · Individual

MRS. Patricia Anderson, O.D.

Optometrist·Kingsland, GA· NPI 1063601128 · Enumerated 2007 · 18 years on NPI
Anderson is 1 of 9 optometrist providers in Kingsland and 1 of 2375 in Georgia.
NPI age
18 years
Enumerated 2007-10-15
Primary specialty
Optometrist
Plus 1 subspecialty
Licensed in
GA, WY
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-09-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Practice location
2003 Commerce Dr
Kingsland, GA 315486767
📞 9128823040fax 9128823786
Mailing address
1950 Old Gallows Rd, Suite 520
Vienna, VA 221823990
📞 7038478899fax 7039910514

Specialties

  • Optometrist Primary
    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...
    GA license #OPT002807 taxonomy 152W00000X
  • Optometrist
    Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
    WY license #WY222T taxonomy 152WL0500X

Identifiers

TypeValueNotes
05 (GA) 003150919A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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