Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyler John Anderson

Individual provider Ophthalmology Physician · NPI 1447612478

Tyler John Anderson is an Ophthalmology Physician in Gloucester, Virginia. Works from 2 locations. Licensed in Kentucky and Virginia.

Licensed in
KY, VA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

7590 Hospital Dr Bldg C204
Gloucester, VA 23061-4178
Phone: (804) 693-5560
Fax: (804) 693-0457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Conn Ter Ste 550, Lexington, KY 40508-3206 — (859) 218-2631

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0101268521 (VA)
Ophthalmology Physician Taxonomy 207W00000X · Licence R4000 (KY)

Record details

NPI number1447612478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020

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