Eye Clinic Of Fairbanks, Inc | |
1919 Lathrop St, Suite 103, Fairbanks, AK 99701-5937 | |
(907) 456-7760 | |
(907) 451-7916 |
Full Name | Eye Clinic Of Fairbanks, Inc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1919 Lathrop St, Fairbanks, Alaska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003980525 | NPI | - | NPPES |
A0030 | Other | AK | BLUE |
MDG576 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 292621 (Alaska) | Secondary |
207W00000X | Ophthalmology | 292621 (Alaska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Eye Clinic Of Fairbanks, Inc 116 Minnie St, Fairbanks, AK 99701-3006 Ph: (907) 456-7760 | Eye Clinic Of Fairbanks, Inc 1919 Lathrop St, Suite 103, Fairbanks, AK 99701-5937 Ph: (907) 456-7760 |
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