| NPI | 1790022978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY T CROSS Owner 907-260-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: AK 326) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2018-03-17 |