Anderson, Patricia
Anderson, Patricia is an individual health care provider with primary practice located at 2003 Commerce Dr , Kingsland GA 31548-6767. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Anderson, Patricia can be contacted via phone (912) 882-3040.Contact Information
Primary practice address
2003 Commerce Dr
Kingsland GA 31548-6767
Phone: (912) 882-3040
Fax: (912) 882-3786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | WY222T | Wyoming |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002807 | Georgia |
Profile Details
| NPI number | 1063601128 |
|---|---|
| LBN Legal business name | Anderson, Patricia |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Sep 27th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063601128 | NPPES |
| Georgia | MEDICAID | 003150919A |
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