LEVI MARC PORTER

EAGLE RIVER, AK
NPI1417992553
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: AK  249T)
Additional Taxonomies152W00000X Optometrist
(Licence: OR  3145AT)
152W00000X Optometrist
(Licence: WY  299T)
Enumeration Date2006-06-20
Last Update Date2017-10-04
Business Address
Dr. LEVI MARC PORTER O.D.
16331 HERITAGE PL STE 104
EAGLE RIVER, AK 99577-7753
Phone number: 907-753-7515
Mailing Address
Dr. LEVI MARC PORTER O.D.
16331 HERITAGE PL STE 104
EAGLE RIVER, AK 99577-7753
Phone number: 503-504-6941