Organization
TIMOTHY P. ANDERSON, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PHILIP ANDERSON O.D. (OWNER)
(828) 692-2593
Entity
Organization
Contact information
Practice address
3450 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-0701
(828) 692-2593
(828) 693-5558
Mailing address
3450 ASHEVILLE HWY, HENDERSONVILLE, NC 28791-0701
(828) 692-2593
(828) 693-5558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890968A
—
NC
Enumeration date
03/30/2012
Last updated
03/30/2012
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