Advanced Anderson, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ADVANCED ANDERSON, INC

Practice address

2830 N. Hiawassee Rd
Orlando, FL 32818

Phone

(407) 296-2020

Fax

(407) 294-0074

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Clinton R Anderson, O.D.NPI 1326034349

Title

President

Phone

(813) 597-4540

Specialties & licenses 1

Addresses

Other names 1

• Advanced Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clinton R Anderson, O.D.

  • Optometrist
  • Orlando, FL
  • NPI 1326034349
  Medicare reassignment NPD Authorized official
• Justin Blaine Waller, OD

  • Optometrist
  • Orlando, FL
  • NPI 1780239640
  Medicare reassignment NPD

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1700201084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N. HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "407-296-2020",
            "fax_number": "407-294-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N. HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32818",
            "telephone_number": "407-296-2020",
            "fax_number": "407-294-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ANDERSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-597-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.