Organization
ANGELINA OPTOMETRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W ANDERSON JR. OD (PARTNER/OWNER)
(936) 637-2020
Entity
Organization
Contact information
Practice address
2801 S JOHN REDDITT DR, LUFKIN, TX 75904-5666
(936) 637-2020
(936) 634-4911
Mailing address
2801 S JOHN REDDITT DR, LUFKIN, TX 75904-5666
(936) 637-2020
(936) 634-4911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B01S
MEDICARE
TX
05
—
093682501
—
TX
Enumeration date
08/10/2006
Last updated
06/21/2018
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