Anderson Optical, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ANDERSON OPTICAL, LLC

Practice address

104 US Highway 80 W Unit a
Pooler, GA 31322-2504

Phone

(912) 330-1200

NPI assigned

Jul 30, 2026

Last updated

Jul 30, 2026By 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

Mr. Robert Charles AndersonNPI 1669380341

Title

Licensed Dispensing Optician

Phone

(912) 330-1200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Charles Anderson, LDO

  • Optician
  • Pooler, GA
  • NPI 1669380341
  NPD (past) Authorized official

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1639092471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 US HIGHWAY 80 W UNIT A",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222504",
            "telephone_number": "912-330-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 US HIGHWAY 80 W UNIT A",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222504",
            "telephone_number": "912-330-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "LICENSED DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "912-330-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamia Allen
• Imani Alston
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• Miracle Danyelle Alvin
• American Oncology Partners, P.a. (Low Country Cancer Care)
• Anderson Professional Eyecare LLC
• Deirdre Anderson-White, PH.D., LPC
• Danielle Anderson, CPT
• Graham Anderson
• Robert Charles Anderson, LDO

• Health Service Clinic/Center in Pooler, GA
• Providers in Pooler, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.