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Organization

THOMAS L ANDERSEN OD PC

Active
Other names
Cocalico Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS L ANDERSEN OD (OWNER PRESIDENT)
(717) 336-5100
Entity
Organization

Contact information

Practice address
1645 N READING RD, STEVENS, PA 17578-9306
(717) 336-5100
(717) 336-7125
Mailing address
1645 N READING RD, STEVENS, PA 17578-9306
(717) 336-5100
(717) 336-7125

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE004581P
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008935780003
PA
Enumeration date
03/27/2007
Last updated
12/04/2007
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