NPI | 1003980525 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD W. ZAMBER President 907-456-7760 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: AK 292621) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AK 292621) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2012-06-22 |