Dr Colleen Personett, OD | |
1867 Airport Way, Ste 150a, Fairbanks, AK 99701-4061 | |
(907) 452-2131 | |
Not Available |
Full Name | Dr Colleen Personett |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1867 Airport Way, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295894103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | A192 (Alaska) | Primary |
152W00000X | Optometrist | OE008289T (Pennsylvania) | Secondary |
Provider Name | Colleen Personett Od Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588800817 PECOS PAC ID: 5991869976 Enrollment ID: O20090206000123 |
Mailing Address | Practice Location Address |
---|---|
Dr Colleen Personett, OD 1214 Ridgepointe Dr, Fairbanks, AK 99709-5737 Ph: (907) 388-7507 | Dr Colleen Personett, OD 1867 Airport Way, Ste 150a, Fairbanks, AK 99701-4061 Ph: (907) 452-2131 |
Eye Clinic Of Fairbanks, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St, Suite 103, Fairbanks, AK 99701 Phone: 907-456-7760 Fax: 907-451-7916 | |
Mountain View Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 2555 Phillips Field Rd, Fairbanks, AK 99709 Phone: 907-328-2920 | |
Augusta Ann Plassmann King, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1521 Stacia St, Unit B, Fairbanks, AK 99701 Phone: 907-456-4822 | |
Anita Mullins, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 Old Steese Hwy Ste 2, Fairbanks, AK 99701 Phone: 907-456-4822 Fax: 907-456-4830 | |
Dr. Jeremy Fulk, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 116 Minnie St, Fairbanks, AK 99701 Phone: 907-456-7760 | |
John Charles Cobbett, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1867 Airport Way Ste 150a, Fairbanks, AK 99701 Phone: 907-452-2131 Fax: 907-452-2618 | |
James R. Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 122 1st Ave, Suite 600, Fairbanks, AK 99701 Phone: 907-452-8251 Fax: 907-459-3853 |