NPI 1669463295 · live from the CMS NPI Registry
Lee S Anderson, MD
Ophthalmology in Fort Worth, TX. National Provider Identifier 1669463295, active.
NPI record
| NPI | 1669463295 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 900 W Magnolia Ave, Suite 202, Fort Worth, TX 76104 |
| Practice phone | 817-334-0882 |
| Mailing address | Po Box 650037, Dallas, TX 75265 |
| Enumerated | November 2, 2005 |
| Last updated | April 11, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | E2439 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.