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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