| NPI | 1023226362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HEDGES GAJDOS President 907-452-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AK 148) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |