Individual
DR. AARON DOUGLAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3783
WA
152W00000X
Optometrist
734
MT
152W00000X
Optometrist
OPT662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482613
—
MT
05
—
2094062
—
WA
Enumeration date
06/14/2006
Last updated
11/05/2024
Update your record
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