Organization Active NPI

Steven L. Anderson, PA

  • Optometrist
  • Arlington, TX
National Provider Identifier
1962746024
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5089-T Issued in TX
Legal business name
STEVEN L. ANDERSON, PA
Practice address
915 E Randol Mill Rd
Arlington, TX 76011-6017
Phone
(817) 462-1661
Fax
(817) 462-9599
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Authorized official

Name
Steven L. Anderson, O.D.
Title
Doctor/Owner
Phone
(817) 462-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5089-T TX Primary

Addresses

Primary practice location

915 E Randol Mill Rd
Arlington, TX 76011-6017

Mailing address

1205 Beaconsfield LN
Apt. 304
Arlington, TX 76011-5047
Phone (817) 462-1661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357948800000",
    "number": "1962746024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BEACONSFIELD LN",
            "address_2": "APT. 304",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115047",
            "telephone_number": "817-462-1661",
            "fax_number": "817-462-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760116017",
            "telephone_number": "817-462-1661",
            "fax_number": "817-462-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L. ANDERSON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-01-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-462-1661",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5089-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.