Anderson, Teri D
Anderson, Teri D is an individual health care provider with primary practice located at 800 S Stratford Rd , Winston Salem NC 27103-3202. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Anderson, Teri D can be contacted via phone (336) 765-5788.Contact Information
Primary practice address
800 S Stratford Rd
Winston Salem NC 27103-3202
Phone: (336) 765-5788
Fax: (336) 765-5584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1742 | North Carolina |
Profile Details
| NPI number | 1285676262 |
|---|---|
| LBN Legal business name | Anderson, Teri D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 20th, 2011 - about 13 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 | 1285676262 | NPPES |
| North Carolina | Other | 09263 | BCBSNC PROVIDER ID |
| North Carolina | MEDICAID | 8909263 | BCBSNC PROVIDER ID |
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