Individual
JON ALLEN ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2001 N LOY LAKE RD, #A, SHERMAN, TX 75090-2839
(903) 868-1712
(903) 891-9373
Mailing address
2001 N LOY LAKE RD, #A, SHERMAN, TX 75090-2839
(903) 868-1712
(903) 891-9373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3003-T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E50N
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
12/26/2006
Last updated
07/08/2007
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