Eyecare Excellence A Professional Corporation | |
3450 E. Rezanof Dr., Kodiak, AK 99615-0827 | |
(907) 486-5504 | |
(907) 486-6577 |
Full Name | Eyecare Excellence A Professional Corporation |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3450 E. Rezanof Dr., Kodiak, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437158375 | NPI | - | NPPES |
1031738 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 00070 (Alaska) | Primary |
Provider Name | Desiree Alexis Wheeler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609351022 PECOS PAC ID: 8527304609 Enrollment ID: I20190923001617 |
Mailing Address | Practice Location Address |
---|---|
Eyecare Excellence A Professional Corporation 3450 E Rezanof Dr, Kodiak, AK 99615-6953 Ph: (907) 486-5504 | Eyecare Excellence A Professional Corporation 3450 E. Rezanof Dr., Kodiak, AK 99615-0827 Ph: (907) 486-5504 |
Kodiak Vision Clinic & Sally's Eyeland, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 214 W Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6117 | |
Dr. Jerimiah L Myers, OD Optometrist Medicare: Medicare Enrolled Practice Location: 214 W Rezanof, Ste 1, Kodiak, AK 99615 Phone: 907-486-6117 Fax: 907-486-6140 | |
Alaska Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 214 W Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6117 | |
John Shank, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3450 E. Rezanof Dr., Kodiak, AK 99615 Phone: 907-486-5504 | |
Desiree Alexis Wheeler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-5504 |