Dr Nathan Lee Anderson, OD is a
Optometrist based in Mountain Home Afb, Idaho. Dr Nathan Lee Anderson is licensed to practice in Idaho (license number ODP-100562) and his current practice location is
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 828-7250.
NPI number for Dr Nathan Lee Anderson is 1285610444 and his current mailing address is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285610444.
Healthcare Provider's Profile
| Full Name | Dr Nathan Lee Anderson |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285610444
- Provider Enumeration Date: 12/20/2005
- Last Update Date: 05/19/2022
Medical Identifiers
Medical identifiers for Dr Nathan Lee Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285610444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-100562 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nathan Lee Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nathan Lee Anderson, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7250 | Dr Nathan Lee Anderson, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7250 |
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