NPI 1093791386

Joseph Leif Andersen, OD

Practitioner Optometrist Lilburn, GA

Practice location

Address: 4319 Lawrenceville Hwy NW, Lilburn, GA 30047-3416
Phone: (770) 921-4707
Fax: (770) 925-8973

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1432 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1093791386
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2005
Record last updated: 26 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.