Health Care Hiring, Medical Jobs
Search from millions of jobs nationwide
Find health care employers in your area
NPI Search for Physicians and Health Care Providers
DR. JEFFREY R ANDERSEN O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1366450686
Individual Registrant:DR. JEFFREY R ANDERSEN O.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1310 PRENTICE DR SUITE F HEALDSBURG, CA 95448-3384 US
Tel: 707-433-9475 Fax: 707-499-2013
Tel: 707-433-9475 Fax: 707-499-2013
Contact information for business:
1310 PRENTICE DR SUITE F HEALDSBURG, CA 95448-3384 US
Tel: 707-433-9475 Fax: 707-499-2013
Tel: 707-433-9475 Fax: 707-499-2013
Registration Information:
NPI: 1366450686
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | OPT7408T |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OPTOMETRY LICENSE | OPT7408T | CA | 01 |
| PTAN | ZZZ42820Z | CA | 01 |
| PTAN | ZZZ13801Z | CA | 01 |
| GROUP PTAN | ZZZ13802Z | CA | 01 |
