Individual
DR. TODD G ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2563ATI
OR
152W00000X
Optometrist
Primary
OD00003258
WA
Other
Enumeration date
08/29/2006
Last updated
10/02/2018
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