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Contact Information

KEVIN J ANDERSON, OD
4103 BOARDWALK STE 100
FORT COLLINS, CO80525-5931
 Phone: 970-223-0592
 Fax: 970-377-1082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEVIN J ANDERSON · (Male)

NPI # 1447239736
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/13/2006
Last updated 01/12/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # CO1342
  • CO Medicaid 04011250
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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