Organization
ANDERSON LANE VISION SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM DREES OD (CEO/MEMBER)
(620) 272-4149
Entity
Organization
Contact information
Practice address
2900 W ANDERSON LN STE G, AUSTIN, TX 78757-1124
(512) 451-6586
Mailing address
3801 N CAPITAL OF TX HWY, C-100, AUSTIN, TX 78746
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TX
Other
Enumeration date
03/06/2018
Last updated
06/16/2018
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