NPI 1083726855 · live from the CMS NPI Registry
Lance Gene Anderson, OD
Optometrist in Hillsboro, OR. National Provider Identifier 1083726855, active.
NPI record
| NPI | 1083726855 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2037 Nw 185th Ave, Hillsboro, OR 97124 |
| Practice phone | 503-690-9200 |
| Enumerated | August 31, 2006 |
| Last updated | December 29, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2298 ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.