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

Mitchel Ryan Anderson, OD

Individual provider Optometrist · NPI 1154982551

Mitchel Ryan Anderson, OD is an Optometry in Santa Fe, New Mexico. Qualified in 2019, 7 years ago. Practices with Kirk Eye LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
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

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone: (505) 988-9821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11323320-9934 (UT)

Record details

NPI number1154982551
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kirk Eye Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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