# RONALD L ANDERSON, MD PC

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

## Provider details

- **NPI number:** 1841520624
- **Authorized official:** MONTEZ ANDERSON (OFFICE MANAGER)
- **Authorized official phone:** (202) 889-5700

## Contact information

- **Practice address:** 2041 MARTIN LUTHER KING JR AVE SE STE 102, WASHINGTON, DC 20020-7033
- **Practice address phone:** (202) 889-5700
- **Mailing address:** 2041 MARTIN LUTHER KING JR AVE SE STE 102, WASHINGTON, DC 20020-7033

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 09/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 021821600 | — | DC |
| 01 | — | 81590001 | BLUE CROSS BLUE SHIELD | — |