Organization
CLAYTON M. ANDERSON, JR. O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON M. ANDERSON JR. O.D. (OPTOMETRIST/OWNER)
(724) 547-6130
Entity
Organization
Contact information
Practice address
701 LINCOLN AVE, N CHARLEROI, PA 15022-2422
(724) 483-8055
(724) 483-6541
Mailing address
701 LINCOLN AVE, N CHARLEROI, PA 15022-2422
(724) 483-8055
(724) 483-6541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013245
DORAL
PA
01
—
391975
NVA
PA
01
—
50551
DAVIS
PA
01
—
77513
AETNA
PA
01
—
AN146070
BLUE CROSS BLUE SHIELD
PA
01
—
PA0579
COLE/EYEMED
PA
Enumeration date
02/21/2008
Last updated
03/24/2008
Update your record
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