Dr Edwin Gwin Anderson, OD | |
113 E Locust St, Dresden, TN 38225-1440 | |
(731) 364-2150 | |
(731) 364-5157 |
Full Name | Dr Edwin Gwin Anderson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 47 Years |
Location | 113 E Locust St, Dresden, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609833227 | NPI | - | NPPES |
ODT643 | Other | TN | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODT643 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jessup Mobile Opt Tn Llc | 3476898073 | 7 |
Provider Name | Mckenzie Medical Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700534229 PECOS PAC ID: 2365427853 Enrollment ID: O20040619000083 |
Provider Name | Optometric Center Professional Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316012099 PECOS PAC ID: 0042397036 Enrollment ID: O20080401000440 |
Provider Name | Jessup Mobile Opt Tn Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740763325 PECOS PAC ID: 3476898073 Enrollment ID: O20190102000685 |
Mailing Address | Practice Location Address |
---|---|
Dr Edwin Gwin Anderson, OD Po Box 31, Dresden, TN 38225-0031 Ph: (731) 364-2150 | Dr Edwin Gwin Anderson, OD 113 E Locust St, Dresden, TN 38225-1440 Ph: (731) 364-2150 |
Optometric Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 113 E Locust St, Dresden, TN 38225 Phone: 731-364-2150 Fax: 731-364-5157 | |
Hometown Health Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 811 Morrow St Ste 207, Dresden, TN 38225 Phone: 731-364-4900 Fax: 833-690-3848 |