Jeffrey R Andersen in Healdsburg - Optometrist
Jeffrey R Andersen - NPI 1366450686
Jeffrey R Andersen is a Optometrist in Healdsburg, California. Jeffrey R Andersen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeffrey R Andersen is 1366450686. The last update date is 2011-10-26.
Jeffrey R Andersen's current location address is 1310 Prentice Dr, Healdsburg, California. You can contact this provider via phone number 7074339475 and fax number 7074992013. The mailing address for Jeffrey R Andersen is 1310 Prentice Dr, Healdsburg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R Andersen |
|---|---|
| Address | 1310 Prentice Dr, Healdsburg, California |
| Phone Number | 7074339475 |
| Fax Number | 7074992013 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1366450686 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2011-10-26 |
Provider Mailing Address Detail
| Address | 1310 Prentice Dr |
|---|---|
| City | Healdsburg |
| State | California (CA) |
| Post Code | 954483384 |
| Phone Number | 7074339475 |
| Fax Number | 7074992013 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT7408T |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OPT7408T | CA | OPTOMETRY LICENSE | |
| ZZZ13801Z | CA | PTAN | |
| ZZZ42820Z | CA | PTAN | |
| ZZZ13802Z | CA | GROUP PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey R Andersen by the Centers for Medicare & Medicaid Services?
The Jeffrey R Andersen has been issued the NPI (National Provider Identifier) 1366450686 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey R Andersen is physically located?
The Jeffrey R Andersen is physically situated at the following address: 1310 Prentice Dr, Healdsburg, CA, 954483384.
What is Jeffrey R Andersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey R Andersen's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date was the 1366450686 assigned to Jeffrey R Andersen?
The Jeffrey R Andersen was issued its 1366450686 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jeffrey R Andersen last refreshed?
The information related to the Jeffrey R Andersen, including its address, specialty, and other relevant details, was last updated on 2011-10-26.
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