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Contact Information

REBECCA J ANDERSON, OD
26615 MAPLE VALLEY BLACK DIAMOND RD SE
MAPLE VALLEY, WA98038-8347
 Phone: 425-413-8787
 Fax: 425-413-4012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for REBECCA J ANDERSON · (Female)

NPI # 1407479918
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/19/2020
Last updated 05/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # OPT.0003586
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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