Steven R Anderson
Optometrist
114 S Court St
Sullivan
, Indiana 47882-1801
Steven R Anderson
Optometrist
114 S Court St
Sullivan
, Indiana 47882-1801
(812) 268-4668
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Steven R Anderson
- 114 S Court St
- Sullivan, IN
- Zip : 47882-1801
- Fax : (812) 268-4668
- Phone : (812) 268-4668
Second Address
- Steven R Anderson
- 114 S Court St
- Sullivan, IN
- Zip : 47882-1801
- Fax : (812) 268-4668
- Phone : (812) 268-4668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001952A | IN |
National Provider Identifier
| NPI | 1003945403 |
|---|---|
| Provider Name | Steven R Anderson |
| First Address | Sullivan, IN 47882-1801 |
| Second Address | Sullivan, IN 47882-1801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/03/2007 |
| Last Update Date | 04/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U21112 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.