# ANDERSON & SHAPIRO EYE SURGEONS, SC

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

## Provider details

- **NPI number:** 1699757302
- **Authorized official:** JENNIFER BOYD BALDOCK (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717-1967
- **Practice address phone:** (608) 827-7705
- **Mailing address:** 1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717-1967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32897700 | — | WI |