| Kodiak Vision Clinic & Sally's Eyeland, Inc. | |
|
214 W Rezanof Dr, Kodiak, AK 99615-6044 | |
| (907) 486-6117 | |
| Not Available |
| Full Name | Kodiak Vision Clinic & Sally's Eyeland, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 214 W 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 |
|---|---|---|---|
| 1285823062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | AAO102 (Alaska) | Primary |
| Provider Name | Jerimiah L Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316015373 PECOS PAC ID: 9638068869 Enrollment ID: I20170601001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Kodiak Vision Clinic & Sally's Eyeland, Inc. 214 W Rezanof Dr, Kodiak, AK 99615-6044 Ph: (907) 486-6117 | Kodiak Vision Clinic & Sally's Eyeland, Inc. 214 W Rezanof Dr, Kodiak, AK 99615-6044 Ph: (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 | |
Eyecare Excellence A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 3450 E. Rezanof Dr., Kodiak, AK 99615 Phone: 907-486-5504 Fax: 907-486-6577 | |
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 |