Organization
TOTAL EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BRUCE ANDERSON O.D. (PRESIDENT)
(952) 381-7611
Entity
Organization
Contact information
Practice address
4175 VINEWOOD LN N, PLYMOUTH, MN 55442-2624
(763) 553-2883
(240) 317-5185
Mailing address
PO BOX 747, HOLLYWOOD, MD 20636-0747
(763) 746-2094
(240) 317-5185
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261Q00000X
Clinic/Center
2956
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202818
MEDICA
MN
01
—
2202941
MEDICA
MN
01
—
2203374
MEDICA
MN
01
—
328M9AN
BLUE CROSS BLUE SHIELD
MN
01
—
478947400
MINNESOTA HEALTH CARE
MN
01
—
979851041639
PERFERRED ONE
MN
Enumeration date
09/22/2006
Last updated
05/14/2025
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