NPI | 1659400596 |
---|---|
Doing Business As | FAIRBANKS OPTOMETRIC CENTER |
Entity Type | Organization |
Authorized Contact | JAMES CURTIS GRAVES President Owner 907-474-8695 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AK 97) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2020-08-22 |