| NPI | 1063740363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WALKER Practice Administrator 907-352-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: AK 4915) |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2012-03-14 |