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

Dustin William Anderson

Individual provider Optometrist · NPI 1821640517

Dustin William Anderson is an Optometry in Fenton, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2019, 7 years ago. Practices with Envision Eye Specialists PC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2019

Practice location Address checks out

1011 Bowles Ave Ste 200
Fenton, MO 63026-2384
Phone: (636) 717-1700
Fax: (636) 203-4727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2019021861 (MO)

Record details

NPI number1821640517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Envision Eye Specialists Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fenton