Individual
DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2807 N MAIN ST, TARBORO, NC 27886-1903
(252) 823-8295
Mailing address
2807 N MAIN ST, TARBORO, NC 27886-1903
(252) 823-8295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09025
BCBS
NC
01
—
2251777
UNITED HEALTHCARE
NC
01
—
410022128
RAILROAD MEDICARE
NC
01
—
66234
MEDCOST
NC
05
—
8909025
—
NC
Enumeration date
01/23/2006
Last updated
08/07/2012
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