Individual
DR. NICHOLAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1269 S MISSOURI AVE, CLEARWATER, FL 33756-4174
(727) 623-9000
Mailing address
1269 S MISSOURI AVE, CLEARWATER, FL 33756-4174
(727) 623-9000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC4291
LICENSE
FL
Enumeration date
10/13/2009
Last updated
03/04/2026
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