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Individual

DENNIS LELAND ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
100 E 12TH ST, JEFFERSONVILLE, IN 47130-3834
(812) 288-7179
Mailing address
100 E 12TH ST, JEFFERSONVILLE, IN 47130-3834
(812) 288-7179

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001580AB
IN

Other

Enumeration date
10/05/2005
Last updated
03/23/2010
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