| NPI | 1891282539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ACQUISTAPACE Owner 907-978-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AK OPTT222) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: AK DOPD259) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |