Organization
JEFFREY L. ANDERSON, O.D.
Active
Other names
Lifetime Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEON ANDERSON O.D. (OWNER OPTOMETRIST)
(507) 282-7121
Entity
Organization
Contact information
Practice address
1608 1ST ST NW, ROCHESTER, MN 55901-0318
(507) 282-7121
Mailing address
1608 1ST ST NW, ROCHESTER, MN 55901-0318
(507) 282-7121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2665
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031217700
—
MN
01
—
108909
HEALTHPARTNERS
MN
01
—
131927
UCARE
MN
01
—
138801
UCARE
MN
01
—
22-00464
MEDICA
MN
01
—
39797WE
BLUE CROSS BLUE SHIELD
MN
01
—
605K3LI
BLUE CROSS BLUE SHIELD
MN
01
—
628A8SI
BLUE CROSS BLUE SHIELD
MN
01
—
6C464AN
BLUE CROSS BLUE SHIELD
MN
05
—
763132000
—
MN
01
—
766571021763
PREFERRED ONE
MN
01
—
916891050630
PREFERRED ONE
MN
01
—
HP52030
HEALTHPARTNERS
MN
01
—
HP77005
HEALTHPARTNERS
MN
Enumeration date
03/02/2007
Last updated
05/13/2008
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