N.t. Anderson, O.d., P.a.

NPI 1073848776 - Optometrist - 152W00000X

NPI Details
NPI 1073848776
Enumeration Date 10/14/2009
Last Updated 01/30/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name NICHOLAS NICHOLAS
Position PRESIDENT
Phone (727) 623-9000
Fax
Practice Location
1269 S MISSOURI AVE
CLEARWATER FL, 33756-4174, US
Phone (727) 623-9000
Fax
Business Location
1269 S MISSOURI AVE
CLEARWATER FL, 33756-4174, US
Phone (727) 623-9000
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC 4291
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According to our database, N.t. Anderson, O.d., P.a. NPI is 1073848776, taxonomy code is 152W00000X and license number is OPC 4291, license state is located at Florida. N.t. Anderson, O.d., P.a. physically located at 1269 S Missouri Ave, Clearwater FL, 33756-4174. NPI Number 1033115704 has the healthcare provider type.

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1073848776 NPI number is provided on an as is basis without warranty of any kind. 1073848776 is maintained by the National Plan & Provider Enumeration System. The contents of N.t. Anderson, O.d., P.a. are for informational purposes only.