IndividualActive
Chad Anderson, O.D.
NPI 1215265012 · Optometrist · Herriman, UT
Provider details
- NPI number
- 1215265012
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- OD60169464 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
5532 W Herriman Main St Ste 120
Herriman, UT 84096-5830
Phone: (801) 302-3080
Fax: (801) 302-8008
Approximate (ZIP-level) locationGet directions
Mailing address
5532 W Herriman Main St Ste 120
Herriman, UT 84096-5830
Registry dates
- Enumerated
- 2009-12-07
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.