Individual
DR. THOMAS L ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1645 N READING RD, STEVENS, PA 17578-9306
(717) 336-5100
(717) 336-7125
Mailing address
1645 N READING RD, STEVENS, PA 17578-9306
(717) 336-5100
(717) 336-7125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE004581P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008935780003
—
PA
Enumeration date
01/18/2008
Last updated
01/18/2008
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