NPI | 1154744712 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES A. LEKITES Optometrist 907-569-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AK 152) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2014-01-31 |