JACQUELINE R. ANDERSON OD – NPI #1518073246
Optometrist

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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

JACQUELINE ANDERSON is an optometrist located in QUANTICO, VA. NPPES has assigned the NPI number 1518073246 to JACQUELINE ANDERSON on August 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JACQUELINE MINIER. The primary taxonomy selected by this provider is 152W00000X from the Health Care Provider Taxonomy code set, which is classified as Optometrist.

The NPI profile was last updated on Oct 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACQUELINE ANDERSON below.

NPI Profile for
JACQUELINE R. ANDERSON

NPI Number
1518073246
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACQUELINE R. ANDERSON
Former Name: JACQUELINE MINIER
Credentials
OD
Primary location
3259 CATLIN AVE
QUANTICO, VA 22134-5109
Phone: (703) 784-1631 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACQUELINE ANDERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO317327104
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152W00000X
- Optometrist (Primary)
MO 2005026113

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency

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