Anderson, Paul Edward
Anderson, Paul Edward is an individual health care provider with primary practice located at 600 Sw 10Th St Ste 104 , Ocala FL 34471-0200. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Paul Edward can be contacted via phone (352) 629-7509.Contact Information
Primary practice address
600 Sw 10Th St Ste 104
Ocala FL 34471-0200
Phone: (352) 629-7509
Fax: (352) 867-5652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2261 | Florida |
Profile Details
| NPI number | 1881678415 |
|---|---|
| LBN Legal business name | Anderson, Paul Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Oct 14th, 2008 - about 17 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 | 1881678415 | NPPES |
| Florida | MEDICAID | 620636100 |
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