| NPI | 1912872698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE SULLIVAN Licensed Optician/ Owner 907-276-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |