| NPI | 1194305417 |
|---|---|
| Doing Business As | PRISM OPTICAL |
| Doing Business As | KETCHIKAN WEEKEND EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID J PEDIGO Managing Member 907-891-7191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-08-30 |