NPI 1508916370 · live from the CMS NPI Registry
Justin Eric Anderson, M.D.
Ophthalmology in Lubbock, TX. National Provider Identifier 1508916370, active.
NPI record
| NPI | 1508916370 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4315 28th St, Lubbock, TX 79410 |
| Practice phone | 806-792-2104 |
| Enumerated | January 11, 2007 |
| Last updated | October 1, 2008 |
| Sole proprietor | No |
| Other names | Justin Anderson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | M9125 (TX) |
| Ophthalmology | 207W00000X | 237829-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.