Anderson Lane Vision Source LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ANDERSON LANE VISION SOURCE LLC

Practice address

2900 W Anderson LN Ste G
Austin, TX 78757-1124

Phone

(512) 451-6586

NPI assigned

Mar 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Adam Drees, OD

Title

Ceo/Member

Phone

(620) 272-4149

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1881196780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TX HWY",
            "address_2": "C-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W ANDERSON LN STE G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571124",
            "telephone_number": "512-451-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON LANE VISION SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DREES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO/MEMBER",
        "authorized_official_telephone_number": "620-272-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna R Anderson Curry
• Jillian Anderson Galligher, RD,CNSC,LD
• Laura Brooke Anderson Kramer, RD
• Anderson Lane Dental
• Anderson Lane Dental Center PLLC (Anderson Lane Dental)
• Anderson Mill Austin Emergency Center LLC
• Amy P Anderson-Dueber, LPC
• Allison Leigh Anderson, MD
• Amber Anderson, PT
• Ben Anderson, D.C.

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.