NPI 1154982551

Mitchel Ryan Anderson, OD

Practitioner Optometrist Santa Fe, NM

Practice location

Address: 1700 Cerrillos Rd, Santa Fe, NM 87505-3026
Phone: (505) 988-9821
Mailing address: 2949 Camino Piedra Lumbre, Santa Fe, NM 87505-5379

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 11323320-9934 (UT)

Other Optometrist providers in New Mexico →

Registry record

NPI: 1154982551
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2019
Record last updated: 26 Jun 2019

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.