Individual
DR. JOHN MICHAEL ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11121 W 95TH ST, OVERLAND PARK, KS 66214
(913) 492-7728
(913) 492-5217
Mailing address
11121 W 95TH ST, OVERLAND PARK, KS 66214-1824
(913) 492-7728
(913) 492-5217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
773
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06749
BCBS
—
Enumeration date
01/18/2007
Last updated
08/16/2018
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