Individual
DR. MATTHEW JAMES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
1900 VILLA CT, JOHNSON CITY, TN 37615-4590
(231) 690-1370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2479
OK
152W00000X
Optometrist
4901004372
MI
Other
Enumeration date
08/01/2006
Last updated
12/30/2014
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