National Provider Identifier
Carolyn K Anderson, OD
Carolyn K Anderson, OD is listed in the NPPES registry with a primary specialty of Optometrist in Penn Yan, NY and a listed phone number of (315) 536-9941.
Profile Overview
- NPI
- 1598439127
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- August 06, 2021
- Last Updated
- March 13, 2023
Practice Location
- 163 Main St
- Penn Yan, NY 14527-1284
Phone: (315) 536-9941
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1598439127
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Carolyn
- Middle Name
- K
- Credential
- OD
- Mailing Street Address
- 163 Main St
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1284
- Mailing Country
- US
- Practice Street Address
- 163 Main St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1284
- Practice Country
- US
- Practice Phone
- (315) 536-9941
- Enumeration Date
- August 06, 2021
- Last Updated
- March 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)