| |
104 Chenega Ave, Ste C, Valdez, AK 99686-1368 | |
(907) 885-3999 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 104 Chenega Ave, Ste C, Valdez, Alaska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1962097469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1515 E Tudor Rd Ste 5, Anchorage, AK 99507-1036 Ph: (907) 885-3999 | 104 Chenega Ave, Ste C, Valdez, AK 99686-1368 Ph: (907) 885-3999 |