Wolf Eye Center, Inc. | |
4505 E Greenstreet Circle, Wasilla, AK 99654 | |
(907) 376-2020 | |
(907) 357-3937 |
Full Name | Wolf Eye Center, Inc. |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4505 E Greenstreet Circle, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063740363 | NPI | - | NPPES |
K163165 | Other | AK | MEDICARE PTAN |
Provider Name | Evan Wolf |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205801586 PECOS PAC ID: 5597726463 Enrollment ID: I20041026000272 |
Provider Name | Lauren Evans |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144451741 PECOS PAC ID: 9335311703 Enrollment ID: I20120626000549 |
Provider Name | Amber Mayberry |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689006942 PECOS PAC ID: 3072756980 Enrollment ID: I20130826000077 |
Provider Name | Austin Joseph Anderson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063068328 PECOS PAC ID: 7911330766 Enrollment ID: I20191209001311 |
Provider Name | Yennhi Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366001513 PECOS PAC ID: 1456784271 Enrollment ID: I20191210001449 |
Provider Name | Jessica A Thornton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962983155 PECOS PAC ID: 5799012159 Enrollment ID: I20201118001301 |
Provider Name | Mark Lantz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295909398 PECOS PAC ID: 7810063971 Enrollment ID: I20210421000497 |
Provider Name | Danica M Lantz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942535265 PECOS PAC ID: 0840325544 Enrollment ID: I20210421000509 |
Mailing Address | Practice Location Address |
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Wolf Eye Center, Inc. 4505 E Greenstreet Circle, Wasilla, AK 99654 Ph: (907) 376-2020 | Wolf Eye Center, Inc. 4505 E Greenstreet Circle, Wasilla, AK 99654 Ph: (907) 376-2020 |