Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Staci Dawn Anderson, OD

Individual provider Optometrist · NPI 1558402578

Dr. Staci Dawn Anderson, OD is an Optometry in Beavercreek, Ohio. Graduated from Ohio State University - College of Optometry in 2002, 24 years ago. Practices with Optometric Management Group LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Trained at
Ohio State University - College of Optometry
Licensed in
OH
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2727 Fairfield Commons Blvd
Beavercreek, OH 45431-3778
Phone: (937) 427-2779
Fax: (937) 427-1527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5284 (OH)

Record details

NPI number1558402578
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 11, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2002 (24 years in practice)
Group practice Optometric Management Group Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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