Provider Demographics
NPI:1275769416
Name:ANDERSON EYE CARE INC
Entity Type:Organization
Organization Name:ANDERSON EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNING OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-265-7781
Mailing Address - Street 1:5549 LBJ FWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6208
Mailing Address - Country:US
Mailing Address - Phone:214-265-7781
Mailing Address - Fax:972-239-2513
Practice Address - Street 1:801 HEBRON PKWY
Practice Address - Street 2:APT 4201
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5030
Practice Address - Country:US
Practice Address - Phone:219-613-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty