Individual
DR. VALERIE RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9270 WICKER AVE, SUITE A, SAINT JOHN, IN 46373-8508
(219) 365-1227
(219) 365-1552
Mailing address
930 CHIPPEWA DR, CROWN POINT, IN 46307-4502
(219) 310-8912
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003351
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521640
—
IN
Enumeration date
12/04/2006
Last updated
12/31/2013
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