| NPI | 1659795797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RENEE REYNOLDS President 907-745-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK 295) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AK 298) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |