| NPI | 1396773347 |
|---|---|
| Doing Business As | ANDERSON LANE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS FREDRICK CLARK Partner 512-451-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-04-15 |