| Doctor Name: | MRS. PATRICIA ANDERSON |
| NPI Number: | 1063601128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.D. |
| License Number: | WY222T |
| Business Practice Address: | 2003 Commerce Dr Kingsland, GA - 315486767 |
| Business Phone Number: | 9128823040 |
| Business Fax Number: | 9128823786 |
| Mailing Address: | 1950 Old Gallows Rd, Suite 520 VIENNA |
| State: | VA |
| Postal Code: | 221823990 |
| Phone Number: | 7038478899 |
| Fax Number: | 7039910514 |
| NPI Enumeration Date: | 10/15/2007 |
| NPI Last Update Date: | 09/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | WY222T |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |