| West Valley Vision Center, Inc | |
|
4169 Geist Rd, Fairbanks, AK 99709-3420 | |
| (907) 479-4700 | |
| (907) 457-5596 |
| Full Name | West Valley Vision Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4169 Geist Rd, Fairbanks, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235354515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | A160 (Alaska) | Primary |
| Provider Name | Michael J Mavencamp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760541676 PECOS PAC ID: 7618995242 Enrollment ID: I20051102000893 |
| Provider Name | Barbara M Keys |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235298134 PECOS PAC ID: 8628083490 Enrollment ID: I20060215000435 |
| Provider Name | Brannon Heath Mills |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689795304 PECOS PAC ID: 4789832254 Enrollment ID: I20140822001681 |
| Provider Name | Ashley Elizabeth Norum Ellis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700239126 PECOS PAC ID: 5193097434 Enrollment ID: I20200629002975 |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Vision Center, Inc 570 Riverstone Way, Suite 3, Fairbanks, AK 99709-2939 Ph: (907) 479-4700 | West Valley Vision Center, Inc 4169 Geist Rd, Fairbanks, AK 99709-3420 Ph: (907) 479-4700 |
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 |