| Doctor Name: | MR. EMERY M. ANDERSON |
| NPI Number: | 1033311063 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | DR1478 |
| Business Practice Address: | 229 Dowlen Rd Ste 4a Beaumont, TX - 777065962 |
| Business Phone Number: | 4098333261 |
| Business Fax Number: | 4098666849 |
| Mailing Address: | 229 Dowlen Rd Ste 4a, BEAUMONT |
| State: | TX |
| Postal Code: | 777065962 |
| Phone Number: | 4098333261 |
| Fax Number: | 4098666849 |
| NPI Enumeration Date: | 06/01/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | DR1478 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |