# N.T. ANDERSON, O.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073848776
- **Authorized official:** DR. NICHOLAS ANDERSON O.D. (PRESIDENT)
- **Authorized official phone:** (727) 623-9000

## Contact information

- **Practice address:** 1269 S MISSOURI AVE, CLEARWATER, FL 33756-4174
- **Practice address phone:** (727) 623-9000
- **Mailing address:** 1269 S MISSOURI AVE, CLEARWATER, FL 33756-4174
- **Mailing address phone:** (727) 623-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4291 | FL | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 01/30/2013
