Individual
DR. JEFFREY CRAIG ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
621 STORY ST, BOONE, IA 50036-4242
(515) 432-2973
Mailing address
621 STORY ST, BOONE, IA 50036-4242
(515) 432-2973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1854
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2259416
—
IA
01
—
410047847
RRM RAILROAD MEDICARE
—
01
—
4512050001
CIGNA/DMERC
—
01
—
51176
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
11/30/2005
Last updated
07/24/2008
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