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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TODD G ANDERSON, OD

Active Sole Proprietor

DR. TODD G ANDERSON, OD is a Optometrist healthcare provider located in COLLEGE PLACE, Washington. NPI 1720196553 is currently active in the NPPES registry. Verify at CMS.

Optometrist · COLLEGE PLACE, WA

Registration Details

NPI Number
1720196553
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2006 (19.920606613193 yrs)
Last Updated
Oct 2, 2018
Licenses
2563ATI (OR)
OD00003258 (WA)
Sole Proprietor
Yes

Practice Information

Address
1700 SE MEADOWBROOK BLVD
COLLEGE PLACE, WA, 993241798
Browse WA providers · Browse ZIP 99324
Phone
5095253700
Fax
5095253748
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.