| NPI | 1871100669 |
|---|---|
| Doing Business As | PRISM OPTICAL & EYE CARE |
| Entity Type | Organization |
| Authorized Contact | DAVID PEDIGO President 907-885-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2021-02-17 |