Organization
ANDERSEN EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMPSON (OWNER)
(989) 799-2860
Entity
Organization
Contact information
Practice address
3210 STATE ST, SAGINAW, MI 48602-3475
(989) 799-2860
Mailing address
3210 STATE ST, SAGINAW, MI 48602-3475
(989) 799-2860
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4901002318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944346425
—
MI
Enumeration date
11/06/2006
Last updated
05/29/2008
Update your record
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