Dr Ronald Michael Kichura, OD | |
5955 Zeamer Ave, 3 Mdg Optometry Clinic, Elmendorf Afb, AK 99506-3702 | |
(907) 580-1150 | |
(907) 580-1152 |
Full Name | Dr Ronald Michael Kichura |
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Gender | Male |
Speciality | Optometrist |
Location | 5955 Zeamer Ave, Elmendorf Afb, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457341034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | AA 182 (Alaska) | Primary |
Provider Name | Alaska Native Tribal Health Consortium |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Provider Name | Southcentral Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Mailing Address | Practice Location Address |
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Dr Ronald Michael Kichura, OD 9612 Saint George Cir, Eagle River, AK 99577-8648 Ph: (907) 696-0929 | Dr Ronald Michael Kichura, OD 5955 Zeamer Ave, 3 Mdg Optometry Clinic, Elmendorf Afb, AK 99506-3702 Ph: (907) 580-1150 |
Nico Rouse Corporation Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Westover Ave, Elmendorf Afb, AK 99506 Phone: 907-753-7515 Fax: 907-753-7585 | |
Nathaniel Arthur Foster, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 673 Medical Group, 5955 Zeamer Ave, Elmendorf Afb, AK 99506 Phone: 907-580-0276 |