Individual
DR. BRIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3200 SOARING GULLS DRIVE, SUITE 104, LAS VEGAS, NV 89129-2198
(702) 645-3211
(702) 645-8878
Mailing address
3200 SOARING GULLS DRIVE, SUITE 104, LAS VEGAS, NV 89129-2198
(702) 645-3211
(702) 645-8878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV285
NV
152W00000X
Optometrist
OPT-000807
AZ
152W00000X
Optometrist
OPT.0003743
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356436661
—
NV
Enumeration date
10/03/2006
Last updated
05/05/2023
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