| Tribal-optometry | |
|
4341 Tudor Centre Dr Ste 200 Anchorage AK 99508-5904 | |
| (907) 729-8500 | |
| Not Available |
| Full Name | Tribal-optometry |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4341 Tudor Centre Dr Ste 200, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribal-optometry Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal-optometry 4341 Tudor Centre Dr Ste 200 Anchorage AK 99508-5904 Ph: (907) 729-8500 |
| NPI Number | 1083660815 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083660815 | NPI | - | NPPES |
| 1000806 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 20467 (Alaska) | Primary |
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