Individual
CLAYTON MANNING ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
784 W MAIN ST, MT PLEASANT, PA 15666
(724) 547-6130
(724) 587-4750
Mailing address
2021 REVERE ROAD, CONNELLSVILLE, PA 15425
(724) 628-3960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000579
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013245
DORAL
—
01
—
0587150001
HEALTHNOW NY INC
—
01
—
391976
NATIONAL VISION ADMINISTR
—
01
—
410020130
PALMETTO GBA
—
01
—
50552
DAVIS
—
01
—
77432
AETNA
—
01
—
AN146070
PENNSYLVANIA BLUE SHIELD
—
01
—
PA0579
COLE EYEMED
—
Enumeration date
08/31/2006
Last updated
12/11/2013
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