Andersen, Joseph Leif

Andersen, Joseph Leif is an individual health care provider with primary practice located at 4319 Lawrenceville Hwy Nw , Lilburn GA 30047-3416. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Andersen, Joseph Leif can be contacted via phone (770) 921-4707.

Contact Information

Primary practice address
4319 Lawrenceville Hwy Nw Lilburn GA 30047-3416
Phone: (770) 921-4707
Fax: (770) 925-8973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1432 Georgia

Profile Details

NPI number 1093791386
LBN Legal business name Andersen, Joseph Leif
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Oct 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093791386 NPPES
Other 410029607 MEDICARE RAILROAD
Other 41ZCCRK MEDICARE RAILROAD

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