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Contact Information

KYLE P ANDERSON, OD
11335 SSG SIMS ST
FORT BLISS, TX79918
 Phone: 915-742-1318
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KYLE P ANDERSON · (Male)

NPI # 1568821353
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/22/2016
Last updated 02/22/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 081414
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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