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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