NPI 1144474941 · live from the CMS NPI Registry
Kimberly Sue Anderson, O.D.
Optometrist in Peachtree City, GA. National Provider Identifier 1144474941, active.
NPI record
| NPI | 1144474941 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 361 Highway 74 N, Peachtree City, GA 30269 |
| Practice phone | 770-487-0667 |
| Mailing address | 101 Riverbirch Way, Sharpsburg, GA 30277 |
| Enumerated | November 6, 2008 |
| Last updated | November 5, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Corneal and Contact Management | 152WC0802X | 2006 (GA) |
| Optometrist primary | 152W00000X | 2006 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.