| NPI | 1568760783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY E COLLINGS Manager 907-317-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 60) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: AK 207) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2015-10-01 |