Individual
DR. JEFFREY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 14TH ST NW, AUSTIN, MN 55912-4645
(507) 437-3227
(507) 437-8070
Mailing address
200 14TH ST NW, AUSTIN, MN 55912-4645
(507) 437-3227
(507) 437-8070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2665
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031217700
—
MN
01
—
09597AN
BLUE PLUS
—
01
—
09Y96LI
BLUE CROSS BLUE SHIELD
MN
01
—
09Y97AN
BLUE CROSS BLUE SHIELD
MN
01
—
09Y99LI
BLUE CROSS BLUE SHIELD
MN
01
—
1021763
PREFERRED ONE
—
01
—
143214
U-CARE
MN
01
—
22-00464
MEDICA
—
01
—
39797WE
BLUE CROSS BLUE SHIELD
MN
01
—
411898525
HUMANA
MN
01
—
58381
HEALTH PARTNERS
—
01
—
605K3LI
BLUE CROSS BLUE SHIELD
MN
01
—
6C464AN
BLUE CROSS BLUE SHIELD
MN
01
—
6C465AN
BLUE CROSS BLUE SHIELD
MN
01
—
96Z70AN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/21/2005
Last updated
03/07/2012
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