Anderson, Dustin Clark
Anderson, Dustin Clark is an individual health care provider with primary practice located at 7238 N Academy Blvd , Colorado Springs CO 80920. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Dustin Clark can be contacted via phone (719) 292-9991.Contact Information
Primary practice address
7238 N Academy Blvd
Colorado Springs CO 80920
Phone: (719) 292-9991
Fax: (719) 649-5634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2952 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 05890 | Texas |
Profile Details
| NPI number | 1669442661 |
|---|---|
| LBN Legal business name | Anderson, Dustin Clark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Apr 23rd, 2019 - about 5 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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