ANDERSON PROFESSIONAL EYECARE LLC NPI 1982817730

NPI Information

  • NPI: 1982817730
  • Provider Name: ANDERSON PROFESSIONAL EYECARE LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 412 US HIGHWAY 80 SW
    POOLER, GA
    ZIP 31322
  • Phone: (912) 748-3937

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NPI Details

ANDERSON PROFESSIONAL EYECARE LLC is an eyewear supplier in Pooler, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ANDERSON PROFESSIONAL EYECARE LLC NPI is 1982817730. The provider is registered as an organization entity type.

The provider's business location address is:

412 US HIGHWAY 80 SW
POOLER, GA
ZIP 31322-541
Phone: (912) 748-3937
Fax: (912) 748-6758

The provider's authorized official is Benjamin Duncan Anderson .
The authorized official title is Owner Licensed Dispensing Optician and has the following contact phone number (912) 748-3937.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 5/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier1696GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1670525139AMEDICAIDGEORGIA
24517680001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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