David Anderson OD LLC
Organization Active NPI Optometrist · Earth City, MO
NPI 1124968466 · NPPES record last updated Mar 30, 2026
Key facts
- NPI
- 1124968466
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DAVID ANDERSON OD LLC
- Practice address
- 3640 Corporate Trail Dr
Earth City, MO 63045-1122 - Phone
- (314) 388-5400
- NPI assigned
- Mar 30, 2026
- Organization subpart
- No
Authorized official
- Name
- David Anderson, OD
- Title
- Owner
- Phone
- (573) 230-3652
Practitioners 1
-
David Anderson, OD
National Provider Directory
Locations
3640 Corporate Trail Dr
Earth City, MO 63045
Phone (314) 388-0722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3640 Corporate Trail Dr
Earth City, MO 63045-1122
Mailing address
4321 Manchester Ave Apt 305
Saint Louis, MO 63110-2166
Other providers in Earth City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.