Anderson, David J

Anderson, David J is an sole proprietor health care provider with primary practice located at 4350 E Camelback Rd B 120, Phoenix AZ 85018-2701. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Anderson, David J can be contacted via phone (602) 279-5855.

Contact Information

Primary practice address
4350 E Camelback Rd B 120 Phoenix AZ 85018-2701
Phone: (602) 279-5855
Fax: (602) 926-8808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X AZ 822 Arizona

Profile Details

NPI number 1699818260
LBN Legal business name Anderson, David J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jun 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699818260 NPPES
Arizona Other 1710245121 MEDICARE GROUP NPI

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