Paul B Anderson

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000349 Issued in PA

Legal business name

PAUL B ANDERSON

Doing business as

Dr. Paul B. Anderson and Associates

Practice address

2656 Ellwood Rd
Lawrence Village Plaza
New Castle, PA 16101-6282

Phone

(724) 652-6430

Fax

(724) 652-4552

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Benjamin Anderson, O.D.

Title

Owner

Phone

(724) 652-6430

Specialties & licenses 1

Addresses

Other names 1

• Dr. Paul B. Anderson and Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013135292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 ELLWOOD RD",
            "address_2": "LAWRENCE VILLAGE PLAZA",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161016282",
            "telephone_number": "724-652-6430",
            "fax_number": "724-652-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 ELLWOOD RD",
            "address_2": "LAWRENCE VILLAGE PLAZA",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161016282",
            "telephone_number": "724-652-6430",
            "fax_number": "724-652-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-652-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Paul B. Anderson and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in New Castle, PA
• Providers in New Castle, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.