P Praxis·MD
● Active Type 1 · Individual

DR. Joseph Leif Andersen, OD

Optometrist·Lilburn, GA· NPI 1093791386 · Enumerated 2005 · 20 years on NPI
Andersen is 1 of 14 optometrist providers in Lilburn and 1 of 2375 in Georgia.
NPI age
20 years
Enumerated 2005-12-19
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
20 years
↑ 4 yr above median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
4319 Lawrenceville Hwy Nw
Lilburn, GA 300473416
📞 7709214707fax 7709258973
Mailing address
4319 Lawrenceville Hwy Nw
Lilburn, GA 300473416
📞 7709214707fax 7709258973

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    GA license #1432 taxonomy 152W00000X

Identifiers

TypeValueNotes
01 410029607 MEDICARE RAILROAD
01 41ZCCRK PTAN

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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