NPI | 1093694374 |
---|---|
Doing Business As | KETCHIKAN EYE CARE CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH HYRUM JOHNSON Owner 505-785-1926 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2025-08-29 |
Last Update Date | 2025-08-29 |