Individual
DR. BRIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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