| NPI | 1255325692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL E ROSEN Owner / President 907-276-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-04-18 |