Provider Demographics
NPI:1437287554
Name:JEFFREY L. ANDERSON O.D.
Entity Type:Organization
Organization Name:JEFFREY L. ANDERSON O.D.
Other - Org Name:FAMILY EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:507-437-3227
Mailing Address - Street 1:300 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-3165
Mailing Address - Country:US
Mailing Address - Phone:507-437-3227
Mailing Address - Fax:507-437-8070
Practice Address - Street 1:300 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-3165
Practice Address - Country:US
Practice Address - Phone:507-437-3227
Practice Address - Fax:507-437-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2665152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty