NPI 1053503698

Michael J Bennett

Organisation Optometrist Juneau, AK

Practice location

Address: 9309 Glacier Hwy STE A103, Juneau, AK 99801-9300
Phone: (907) 789-3175
Fax: (907) 789-1778

Authorised official

Name: Michael Bennett
Title: Owner
Phone: (907) 789-3175

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 273325 (AK)

Other Optometrist providers in Alaska →

Registry record

NPI: 1053503698
Entity type: Organization
NPI issued: 17 Aug 2007
Record last updated: 29 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.