Organization
DRS. BARNETT, ANDERSEN, & ASSOCIATES, OPTOMETRIST, P.C.
Active
Other names
Drs. Brautigam, Barnett, Andersen, & Associates, Optometrist, P.C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LEIF ANDERSEN O.D. (VICE PRESIDENT)
(770) 921-4707
Entity
Organization
Contact information
Practice address
4319 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3416
(770) 921-4707
(770) 925-8973
Mailing address
4319 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3416
(770) 921-4707
(770) 925-8973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
683T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238123293A
—
GA
05
—
377696987A
—
GA
Enumeration date
01/25/2007
Last updated
02/26/2015
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