| NPI | 1255483970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK D. CHRISTIANSON Co Owner 907-225-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-04-08 |