NPI 1104854942

Andrew R Anderson, OD

Practitioner Optometrist Mishawaka, IN

Practice location

Address: 230 E Day Rd 100, Mishawaka, IN 46545-3408
Phone: (574) 271-3939
Fax: (574) 271-3941

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003399A (IN)

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Registry record

NPI: 1104854942
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 17 Jul 2013

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.