| NPI | 1205752433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MARC BRUNETTI Sole Member / Managing Member 907-759-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-08-09 |